Active NPI
Sole Podiatry Center PA
- Foot & Ankle Surgery Podiatrist
- Naples, FL
National Provider Identifier
1053774596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P03769
- Legal business name
- SOLE PODIATRY CENTER PA
- Practice address
- 5475 Golden Gate Pkwy
Ste 4
Naples, FL 34116-7529 - Phone
- (239) 353-1555
- Fax
- (239) 353-7001
- NPI assigned
- Apr 1, 2016
- Organization subpart
- Yes
- Parent organization
- SOLE PODIATRY CENTER PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean M. Kibria, D.P.M.
- Title
- Physician
- Phone
- (239) 353-1555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P03769 | FL | Primary |
Addresses
Primary practice location
5475 Golden Gate Pkwy
Ste 4
Naples, FL 34116-7529
Mailing address
5475 Golden Gate Pkwy
Ste 4
Naples, FL 34116-7529
Phone (239) 353-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Sole Podiatry Center PA
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": "1459468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459468800000",
"number": "1053774596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 GOLDEN GATE PKWY",
"address_2": "STE 4",
"city": "NAPLES",
"state": "FL",
"postal_code": "341167529",
"telephone_number": "239-353-1555",
"fax_number": "239-353-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 GOLDEN GATE PKWY",
"address_2": "STE 4",
"city": "NAPLES",
"state": "FL",
"postal_code": "341167529",
"telephone_number": "239-353-1555",
"fax_number": "239-353-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLE PODIATRY CENTER PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOLE PODIATRY CENTER PA",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A",
"authorized_official_last_name": "KIBRIA",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "239-353-1555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "P03769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.