In Home Podiatry SC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

IN HOME PODIATRY SC

Practice address

7532 Clearview Dr
Tampa, FL 33634-2930

Phone

(813) 525-6135

NPI assigned

Apr 2, 2019

Last updated

Feb 10, 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. Kibibi Davison, DPMNPI 1063676575

Title

President

Phone

(813) 525-6135

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Kibibi Davison, DPM

  • Primary Podiatric Medicine Podiatrist
  • Tampa, FL
  • NPI 1063676575
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1285196956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 CLEARVIEW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342930",
            "telephone_number": "813-525-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 CLEARVIEW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342930",
            "telephone_number": "813-525-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PODIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "KIBIBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-525-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC LICENSE",
            "identifier": "PO4035",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Impressive Smiles Tampa LLC
• Improving Skills Behavior Services LLC
• Amna Imran, MD
• Charles Imwalle Jr., MD
• In Home Hearing Care, Inc. (In HOme Hearing Care)
• In Touch Home Health LLC
• Matthew Ina, PT, DPT
• Richard Ina, M.D.
• Ernest Inacay, M.D.
• Linda Tomomi Inatsuka, PH.D.

• Primary Podiatric Medicine Podiatrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.

Verify at the official NPI Registry.