Certified Foot & Ankle Specialists

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CERTIFIED FOOT & ANKLE SPECIALISTS

Practice address

7775 Lake Worth Rd
Lake Worth, FL 33467-2519

Phone

(561) 967-6800

Fax

(561) 967-0975

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Kyle J Kinmon, DPM

Title

Owner

Phone

(561) 995-0229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1154892867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714",
            "telephone_number": "561-995-0229",
            "fax_number": "561-433-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672519",
            "telephone_number": "561-967-6800",
            "fax_number": "561-967-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KINMON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-995-0229",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centrum Medical Holdings LW
• Daniela De Jesus Cepero de Leon
• Malena Cepero
• Cerberus Medical LLC
• Elisena Cerne
• Mariana Cesar
• Yonnelis Cespedes
• Mirianne Cetoute
• Stephanie Nicholle Cevallos
• Cfsatc Inc

• Podiatrist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.