Active NPI
White Sands Podiatry LLC
- Foot & Ankle Surgery Podiatrist
- Crestview, FL
National Provider Identifier
1033797030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- WHITE SANDS PODIATRY LLC
- Practice address
- 502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238 - Phone
- (850) 622-1607
- Fax
- (888) 302-6552
- NPI assigned
- Mar 31, 2021
- 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
- Sean C Hodson, DPM
- Title
- President/Physician
- Phone
- (850) 622-1607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238
Mailing address
771 Harbor Blvd Ste 400 #410
Destin, FL 32541-2638
Phone (850) 622-1607
Other practice location 1
4400 E Highway 20 Ste 201
Niceville, FL 32578-7700
Phone (850) 622-1607
Other practice location 2
1032 Mar Walt Dr Unit 100
Fort Walton Beach, FL 32547-6661
Phone (850) 622-1607
Other practice location 3
4012 Commons Dr W Ste 110
Destin, FL 32541-8424
Phone (850) 622-1607
National Provider Directory
National Provider Directory- Tax ID family
- White Sands Podiatry LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba White Sands Podiatry
- Foot & Ankle Surgery Podiatrist
- Crestview, FL
- NPI 1518542182
-
- Foot & Ankle Surgery Podiatrist
- Crestview, FL
- NPI 1538747530
Locations
4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1033797030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 HARBOR BLVD STE 400 #410",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412638",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S FERDON BLVD STE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325364238",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552"
}
],
"practiceLocations": [
{
"address_1": "4400 E Highway 20 Ste 201",
"address_purpose": "LOCATION",
"city": "Niceville",
"state": "FL",
"postal_code": "325787700",
"country_code": "US",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1032 Mar Walt Dr Unit 100",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325476661",
"country_code": "US",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4012 Commons Dr W Ste 110",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325418424",
"country_code": "US",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WHITE SANDS PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-31",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "HODSON",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "850-622-1607",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.