Organization Active NPI

Michael J. Ayres, DPM, PA

  • Durable Medical Equipment & Medical Supplies
  • Palm Bay, FL
National Provider Identifier
1033389200
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0875400001 Issued in FL
Legal business name
MICHAEL J. AYRES, DPM, PA
Practice address
910 Malabar Rd SE
Suite #1
Palm Bay, FL 32907-3200
Phone
(321) 722-0000
Fax
(321) 768-0085
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Michael John Ayres, D.P.M.NPI 1861497158
Title
Owner
Phone
(321) 722-0000

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0875400001 FL Primary

Addresses

Primary practice location

910 Malabar Rd SE
Suite #1
Palm Bay, FL 32907-3200

Mailing address

910 Malabar Rd SE
Suite #1
Palm Bay, FL 32907-3200
Phone (321) 722-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930027564 FL DME Supplier - Physician - Podiatry 4082734850 Practice locations: Palm Bay, FL
O20111201000549 FL Part B Supplier - Clinic/Group Practice 4082734850 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

910 Malabar Rd SE
Ste 1
Palm Bay, FL 32907
Phone (321) 722-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1033389200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MALABAR RD SE",
            "address_2": "SUITE #1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073200",
            "telephone_number": "321-722-0000",
            "fax_number": "321-768-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MALABAR RD SE",
            "address_2": "SUITE #1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073200",
            "telephone_number": "321-722-0000",
            "fax_number": "321-768-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. AYRES, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-722-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "0875400001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.