Active NPI
Southernmost Foot and Ankle Specialists
- Primary Podiatric Medicine Podiatrist
- Tavernier, FL
National Provider Identifier
1073701488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390458000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Southernmost Foot and Ankle Specialists PA
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Coral Gables, FL
- NPI 1104014513
-
- Primary Podiatric Medicine Podiatrist
- Marathon, FL
- NPI 1275721680
-
- Primary Podiatric Medicine Podiatrist
- Big Pine Key, FL
- NPI 1528256930
-
- Primary Podiatric Medicine Podiatrist
- Key West, FL
- NPI 1538357942
-
- Primary Podiatric Medicine Podiatrist
- Homestead, FL
- NPI 1134158264
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.
-
- Primary Podiatric Medicine Podiatrist
- Key West, FL
- NPI 1356430888
Primary Podiatric Medicine
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.