Dotson, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PED-148 Issued in FL

Legal business name

DOTSON, INC

Doing business as

Dale's Shoes

Practice address

2595 W International Speedway Blvd
Daytona Beach, FL 32114-1118

Phone

(386) 252-2138

Fax

(386) 252-0928

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Russell Dotson

Title

Vice President/General Manager

Phone

(386) 252-2138

Specialties & licenses 1

Addresses

Other names 1

• Dale's Shoes Doing business as

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1023290749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-252-2138",
            "fax_number": "386-252-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141118",
            "telephone_number": "386-252-2138",
            "fax_number": "386-252-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "386-252-2138"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PED-148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacie Ann Dormeyer
• Matheus Montano Dos Santos, MD
• Robert Dossett
• Lakeita Doster
• Daniel A Dotson, C.PED
• Daniel Doucette, APRN
• William P Douglass, MD
• Lisa Marlene Douthwaite, ARNP
• Debra Dowell, APRN
• Chaconna Downs, LCSW

• Prosthetic/Orthotic Supplier in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.