NPIMap

Organization Active NPI

North Port Podiatry Center PA

  • Foot & Ankle Surgery Podiatrist
  • North Port, FL
National Provider Identifier
1124523212
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3256 Issued in FL
Legal business name
NORTH PORT PODIATRY CENTER PA
Practice address
14580 Tamiami TRL Unit H
North Port, FL 34287-2708
Phone
(941) 429-1702
Fax
(941) 429-0981
NPI assigned
Mar 29, 2018
Organization subpart
Yes
Parent organization
NORTH PORT PODIATRY CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Dr. David B DanielsonNPI 1821179755
Title
Owner/Doctor
Phone
(941) 429-1702

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3256 FL Primary

Addresses

Primary practice location

14580 Tamiami TRL Unit H
North Port, FL 34287-2708

Mailing address

14580 Tamiami TRL Unit H
North Port, FL 34287-2708
Phone (941) 429-1702

Other practice location 1

2400 S McCall Rd Ste F
Englewood, FL 34224-5136
Phone (941) 474-5577

Other names 1

  • North Port & Englewood Podiarty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lisa N Klemeyer DPM PA2 organizations share this tax ID, including this one
Part of
Lisa N Klemeyer DPM PA

Other organizations with this tax ID 1

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

Locations

2400 S McCall Rd
Ste F
Englewood, FL 34224
Phone (941) 473-3338

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1124523212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT H",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-429-1702",
            "fax_number": "941-429-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT H",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-429-1702",
            "fax_number": "941-429-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S McCall Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342245136",
            "country_code": "US",
            "telephone_number": "941-474-5577",
            "fax_number": "941-473-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH PORT PODIATRY CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH PORT PODIATRY CENTER PA",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "941-429-1702",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Port & Englewood Podiarty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Port & Englewood Podiarty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.