Organization Active NPI

Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Fort Lauderdale, FL
National Provider Identifier
1013449263
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
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

Updated by the provider on Oct 9, 2024

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL www.certifiedfoot.com

National Provider Directory

National Provider Directory

Locations

2737 E Oakland Park Blvd
Ste 202
Ft Lauderdale, FL 33306
Phone (954) 561-3338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDCDD
  • FHIR API: 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.

Verify at the official NPI Registry.