Active NPI
Certified Foot & Ankle Specialists
- Non-Pharmacy Dispensing Site
- Fort Lauderdale, FL
National Provider Identifier
1013449263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- CERTIFIED FOOT & ANKLE SPECIALISTS
- Practice address
- 4750 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4609 - Phone
- (954) 561-3338
- Fax
- (954) 566-3051
- NPI assigned
- Mar 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Kinmon, MD
- Title
- Owner
- Phone
- (561) 425-2929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3007 | FL | |
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
4750 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4609
Mailing address
1601 Clint Moore Rd
Suite 130
Boca Raton, FL 33487-2768
Phone (561) 995-0229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.certifiedfoot.com |
National Provider Directory
National Provider DirectoryLocations
2737 E Oakland Park Blvd
Ste 202
Ft Lauderdale, FL 33306
Phone (954) 561-3338
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFDCDD
- https://api.platform.athenahealth.com/15305/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1013449263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "SUITE 130",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-995-0229",
"fax_number": "561-989-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N FEDERAL HWY STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084609",
"telephone_number": "954-561-3338",
"fax_number": "954-566-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERTIFIED FOOT & ANKLE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "KINMON",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-425-2929",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3007",
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.certifiedfoot.com",
"affiliation": "N",
"address_1": "4750 N Federal Hwy Ste 200",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333084609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.