Kyle J Kinmon, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3007 Issued in FL

Practice address

1601 Clint Moore Rd
130
Boca Raton, FL 33487-2768

Phone

(561) 995-0229

Fax

(561) 989-0775

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (8 of 9)

Locations

Networks

• FL PPO

Interoperability endpoints

• Direct secure messaging: kyle.kinmon@cfaasp-fl.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1699904169

  FL, Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192

  FL

  Medicare reassignment NPD
• Timothy C. Runyon, D.P.M. P.a.

  • Non-Pharmacy Dispensing Site
  • St. Petersburg, FL
  • NPI 1093869851

  FL, Foot & Ankle Surgery

  Medicare reassignment NPD
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
  • NPI 1083269955

  Foot & Ankle Surgery

  NPD Authorized official
• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Fort Myers, FL
  • NPI 1023784188

  Foot & Ankle Surgery

  NPD Authorized official
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Vero Beach, FL
  • NPI 1497406508

  Foot & Ankle Surgery

  NPD (past) Authorized official
• Certified Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Weston, FL
  • NPI 1710645007

  Foot & Ankle Surgery

  NPD (past) Authorized official
• Ortho Florida, LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1225833858
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1023076312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714",
            "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": "1601 CLINT MOORE RD",
            "address_2": "130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-995-0229",
            "fax_number": "561-989-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINMON",
        "first_name": "KYLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340310600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "65766Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason King
• Lisa King, APRN
• Samuel Anthony Ricardo King, LCSW, MS, EMDR
• Kingsley Clinic of Florida LLC
• Jacquelyn Kingston
• Kioko, LLC
• Elyce Kiperman-Gordon, MS, LCMHC, NCC
• Mateusz Kiraga
• Latia Shanae Kirby, OTR/L
• Marshall Scott Kirk, D.P.M.

• Foot & Ankle Surgery Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.