Active NPI
Certified Foot & Ankle Specialists
- Podiatrist
- Lake Worth, FL
National Provider Identifier
1154892867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
- Last updated
- Apr 14, 2021
- 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
- Kyle J Kinmon, DPM
- Title
- Owner
- Phone
- (561) 995-0229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
7775 Lake Worth Rd
Lake Worth, FL 33467-2519
Mailing address
1601 Clint Moore Rd Ste 130
Boca Raton, FL 33487-5714
Phone (561) 995-0229
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Boca Raton, FL
- NPI 1023076312
NPI Registry JSON
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": []
}
Other providers in Lake Worth, FL
Sources for this page
- 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.