Atlantic Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ATLANTIC PODIATRY PLLC

Practice address

489 Atlantic Ave # 1a
Brooklyn, NY 11217-2985

Phone

(718) 489-1130

Fax

(718) 489-1127

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Dawson, DPMNPI 1063763522

Title

Podiatrist

Phone

(646) 918-4393

Specialties & licenses 1

Addresses

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.

• Brian Dawson, DPM

  • Sports Medicine Podiatrist
  • Smithtown, NY
  • NPI 1063763522
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1255930079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 ATLANTIC AVE # 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172985",
            "telephone_number": "718-489-1130",
            "fax_number": "718-489-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 ATLANTIC AVE # 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172985",
            "telephone_number": "718-489-1130",
            "fax_number": "718-489-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "646-918-4393",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.