Active NPI
Edwin Pratts, DPM
- Podiatrist
- Miami, FL
National Provider Identifier
1003879305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2175
- Practice address
- 2455 W Flagler St
Suite 1
Miami, FL 33135-1439 - Phone
- (954) 559-1245
- Fax
- (305) 501-4059
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2175 | FL | Primary |
Addresses
Primary practice location
2455 W Flagler St
Suite 1
Miami, FL 33135-1439
Mailing address
18221 SW 22ND St
Miramar, FL 33029
Phone (954) 559-1245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058273500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1003879305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18221 SW 22ND ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-559-1245",
"fax_number": "954-437-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 W FLAGLER ST",
"address_2": "SUITE 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331351439",
"telephone_number": "954-559-1245",
"fax_number": "305-501-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATTS",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058273500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.