{"npi":"1982606414","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Kissel DPM","other":[],"first":"CHARLES","last":"KISSEL","middle":"GREGORY","credential":"DPM"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"MI","license":"5901000960"}]},"addresses":[{"purpose":"LOCATION","street_1":"29433 RYAN RD","city":"WARREN","state":"MI","postal_code":"480922203","country_code":"US","phone":"5865740500","fax":"5865742694"},{"purpose":"MAILING","street_1":"29433 RYAN RD","city":"WARREN","state":"MI","postal_code":"480922203","country_code":"US","phone":"5865740500","fax":"5865742694"}],"license":{"state":"MI","number":"5901000960"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4949617","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"480F330020","state":"MI","issuer":"BCBSM"},{"type_code":"05","label":"Medicaid","value":"1715614","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"480E011810","state":"MI","issuer":"BCBSM"},{"type_code":"05","label":"Medicaid","value":"2932693","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"4585272","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"T34053","state":"MI","issuer":"UPIN"},{"type_code":"01","label":"Other","value":"480F335300","state":"MI","issuer":"BCBSM"},{"type_code":"01","label":"Other","value":"480Q24567","state":"MI","issuer":"BCBSM"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060607000208","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"MI","pac_id":"3971535600"}]},"enumeration_date":"2005-08-15","last_updated":"2014-10-24","_meta":{"source":"NPPES","snapshot_date":"2014-10-24","doc_url":"https://findmynpi.com/api"}}