NPIMap

Organization Active NPI

Knock Your Socks Off Foot & Ankle Specialist LLC

  • Foot & Ankle Surgery Podiatrist
  • North Miami Beach, FL
National Provider Identifier
1063920338
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3966 Issued in FL
Legal business name
KNOCK YOUR SOCKS OFF FOOT & ANKLE SPECIALIST LLC
Practice address
150 NW 168TH St Ste 303
North Miami Beach, FL 33169-6051
Phone
(786) 298-5861
Fax
(786) 657-2758
NPI assigned
Jan 19, 2018
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Michael Norris, DPMNPI 1730533720
Title
Ceo
Phone
(510) 914-1223

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
Foot & Ankle Surgery Podiatrist 213ES0103X PO3966 FL Primary

Addresses

Primary practice location

150 NW 168TH St Ste 303
North Miami Beach, FL 33169-6051

Mailing address

19421 NE 18TH CT
North Miami Beach, FL 33179-3655
Phone (510) 914-1223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207001794 FL Part B Supplier - Clinic/Group Practice 1355685900 Receives reassigned benefits from 9 practitioners

National Provider Directory

National Provider Directory

Locations

2310 N Normandy Blvd
Deltona, FL 32725
Phone (386) 259-3860

415 E 39th St
#1
Hialeah, FL 33013
Phone (786) 536-7725

888 NE 126th St
Ste 200
North Miami, FL 33161
Phone (305) 892-7959

150 NW 168th St
Ste 303
North Miami Beach, FL 33169
Phone (786) 298-5861

2800 Fordham Rd NE
Palm Bay, FL 32905
Phone (321) 265-6803

177 Empress Ave
Sebastian, FL 32958
Phone (772) 388-4730

2100 10th Ave
#B
Vero Beach, FL 32960
Phone (772) 562-8491

4016 57th Ter
Vero Beach, FL 32966
Phone (772) 501-3951

5380 US Highway 1
Vero Beach, FL 32967
Phone (321) 270-5833

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1063920338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19421 NE 18TH CT",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793655",
            "telephone_number": "510-914-1223",
            "fax_number": "786-657-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 303",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "786-298-5861",
            "fax_number": "786-657-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOCK YOUR SOCKS OFF FOOT & ANKLE SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-914-1223",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.