Active NPI
D. Dotson, LLC
- Pedorthist
- Ormond Beach, FL
National Provider Identifier
1053076521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220405000415 | FL | DME Supplier - Pedorthic Personnel | 3971999707 | Practice locations: Ormond Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| D Dotson LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.