Organization Active NPI

Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Tavernier, FL
National Provider Identifier
1073701488
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SOUTHERNMOST FOOT AND ANKLE SPECIALISTS
Practice address
91461 Overseas Hwy
Tavernier, FL 33070-2514
Phone
(305) 852-1878
Fax
(305) 892-2932
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dmitry Sandler, DPM,FACFAS
Title
Physician
Phone
(305) 246-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

91461 Overseas Hwy
Tavernier, FL 33070-2514

Mailing address

975 Baptist Way
#101
Homestead, FL 33033-7600
Phone (305) 246-4774

Other identifiers 1

IdentifierTypeStateIssuer
390458000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Southernmost Foot and Ankle Specialists PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

975 Baptist Way
#101
Homestead, FL 33033
Phone (305) 246-4774

91461 Overseas Hwy
Tavernier, FL 33070
Phone (305) 248-4774

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1073701488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "#101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91461 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702514",
            "telephone_number": "305-852-1878",
            "fax_number": "305-892-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-246-4774",
        "authorized_official_credential": "DPM,FACFAS"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390458000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.