Organization Active NPI

American Institute for Small Joint Replacement

  • Foot Surgery Podiatrist
  • Hallandale Beach, FL
National Provider Identifier
1013188507
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT
Practice address
1250 E Hallandale Beach Blvd
Suite 805
Hallandale Beach, FL 33009-4634
Phone
(866) 955-1117
Fax
(954) 455-7933
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andy Chauser, ADMINISTRATOR
Title
Adminstrator
Phone
(866) 955-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd
Suite 805
Hallandale Beach, FL 33009-4634

Mailing address

1250 E Hallandale Beach Blvd
Suite 805
Hallandale Beach, FL 33009-4634
Phone (866) 955-1117

Other identifiers 1

IdentifierTypeStateIssuer
65573OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Richard Koenig Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1013188507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 805",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "866-955-1117",
            "fax_number": "954-455-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 805",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "866-955-1117",
            "fax_number": "954-455-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CHAUSER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "866-955-1117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65573",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Koenig",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.