Active NPI
Kingstondev LLC
- Plastic Surgery Physician
- Miramar Beach, FL
National Provider Identifier
1013710565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- KINGSTONDEV LLC
- Practice address
- 7800 US Highway 98 W
Miramar Beach, FL 32550-7228 - Phone
- (504) 249-3805
- NPI assigned
- Mar 31, 2025
- 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
- Dr. Suma Maddox, MD
- Title
- Surgeon
- Phone
- (504) 249-3805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
7800 US Highway 98 W
Miramar Beach, FL 32550-7228
Mailing address
508 Millaudon St
New Orleans, LA 70118-3805
Phone (504) 881-3652
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- New Orleans, LA
- NPI 1700014818
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1013710565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 MILLAUDON ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701183805",
"telephone_number": "504-881-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 US HIGHWAY 98 W",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325507228",
"telephone_number": "504-249-3805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSTONDEV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"status": "A",
"authorized_official_last_name": "MADDOX",
"authorized_official_first_name": "SUMA",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "504-249-3805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.