Active NPI
White Sands Podiatry LLC
- Foot & Ankle Surgery Podiatrist
- Fort Walton Beach, FL
National Provider Identifier
1235962028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- WHITE SANDS PODIATRY LLC
- Practice address
- 1032 Mar Walt Dr
Ste 100
Fort Walton Beach, FL 32547 - Phone
- (850) 622-1607
- Fax
- (888) 302-6552
- NPI assigned
- Aug 26, 2024
- Organization subpart
- Yes
- Parent organization
- WHITE SANDS PODIATRY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Charles Hodson, DPM
- Title
- Owner/Physician
- Phone
- (850) 622-1607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1032 Mar Walt Dr
Ste 100
Fort Walton Beach, FL 32547
Mailing address
981 US Hwy 98
Ste 3410
Destin, FL 32541
Phone (850) 622-1607
National Provider Directory
National Provider Directory- Part of
- White Sands Podiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1235962028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 US HWY 98",
"address_2": "STE 3410",
"city": "DESTIN",
"state": "FL",
"postal_code": "32541",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 MAR WALT DR",
"address_2": "STE 100",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-622-1607",
"fax_number": "888-302-6552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE SANDS PODIATRY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE SANDS PODIATRY LLC",
"enumeration_date": "2024-08-26",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "HODSON",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "850-622-1607",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
- Tonya G Whilden, RN
- Donald William Whitaker, M.D
- White Sands Chiropractic Clinic Inc
- White Sands Integrative Medical, Inc.
- White Sands Physical Therapy Inc
- White-Wilson Association, P.a.
- White-Wilson Medical Center PA
- White-Wilson Medical Center, P.a.
- White-Wilson Medical Center, P.a.
- Devin Michael White
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.