Organization Active NPI

D. Dotson, LLC

  • Pedorthist
  • Ormond Beach, FL
National Provider Identifier
1053076521
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Legal business name
D. DOTSON, LLC
Practice address
453 S Nova Rd
Ormond Beach, FL 32174-6138
Phone
(386) 252-2138
Fax
(386) 252-0928
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Daniel Dotson, C. PED
Title
President
Phone
(386) 252-2138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193200000X MULTI-SPECIALTY GROUP 224L00000X Primary

Addresses

Primary practice location

453 S Nova Rd
Ormond Beach, FL 32174-6138

Mailing address

453 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 252-2138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405000415 FL DME Supplier - Pedorthic Personnel 3971999707 Practice locations: Ormond Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
D Dotson LLC453 S Nova Rd, Ormond Beach, FL 32174-6138(386) 252-2138 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 22, 2022

National Provider Directory

National Provider Directory

Locations

453 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 252-2138

431 S Nova Rd
Ste 453
Ormond Beach, FL 32174

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1053076521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746138",
            "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": "453 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746138",
            "telephone_number": "386-252-2138",
            "fax_number": "386-252-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. DOTSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-09-12",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-252-2138",
        "authorized_official_credential": "C. PED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.