DEXTER PODIATRY PC NPI 1043475726

NPI Information

  • NPI: 1043475726
  • Provider Name: DEXTER PODIATRY, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 7300 DEXTER ANN ARBOR RD
    SUITE 100
    DEXTER, MI
    ZIP 48130
  • Phone: (734) 253-2687

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NPI Details

DEXTER PODIATRY, PC is a foot and ankle surgery podiatrist in Dexter, MI. DEXTER PODIATRY, PC NPI is 1043475726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7300 DEXTER ANN ARBOR RD
SUITE 100
DEXTER, MI
ZIP 48130-598
Phone: (734) 253-2687
Fax: (734) 253-2697

The provider's authorized official is Kristi Ledbetter .
The authorized official title is President / Owner and has the following contact phone number (734) 253-2687.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 9/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery5901002092MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16131760001MEDICARE NSCMICHIGAN
248-0-H1-1754-0OTHERMICHIGANBCBS
3DP2242OTHERMICHIGANRAILROAD MEDICARE
40P61320MEDICARE PINMICHIGAN
51043475726MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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