Active NPI
Goldenfeet Inc
- Foot Surgery Podiatrist
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- GOLDENFEET INC
- Practice address
- 4877 Palm Coast Pkwy NW Unit 4
Palm Coast, FL 32137-3677 - Phone
- (386) 490-9990
- Fax
- (386) 263-8768
- NPI assigned
- Apr 24, 2014
- 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
- Joe Li, DPM
- Title
- President
- Phone
- (386) 490-9990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
4877 Palm Coast Pkwy NW Unit 4
Palm Coast, FL 32137-3677
Mailing address
4877 Palm Coast Pkwy NW Unit 4
Palm Coast, FL 32137-3677
Phone (386) 490-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012374100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4877 Palm Coast Pkwy NW
Unit 4
Palm Coast, FL 32137
Phone (386) 490-9990
4867 Palm Coast Pkwy NW
Unit 1
Palm Coast, FL 32137
Phone (904) 490-9990
Practitioners & 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
- Palm Coast, FL
- NPI 1649582628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1205256617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4877 PALM COAST PKWY NW UNIT 4",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373677",
"telephone_number": "386-490-9990",
"fax_number": "386-263-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4877 PALM COAST PKWY NW UNIT 4",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373677",
"telephone_number": "386-490-9990",
"fax_number": "386-263-8768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDENFEET INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-490-9990",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012374100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.