Organization Active NPI

North Miami Foot & Ankle Center Inc.

  • Podiatrist
  • North Miami, FL
National Provider Identifier
1326364985
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2398 Issued in FL
Legal business name
NORTH MIAMI FOOT & ANKLE CENTER INC.
Practice address
12605 NE 7TH Ave
North Miami, FL 33161-4813
Phone
(305) 893-9883
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Clifford G O'Connor, DPM
Title
President
Phone
(305) 893-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO 2398 FL Primary

Addresses

Primary practice location

12605 NE 7TH Ave
North Miami, FL 33161-4813

Mailing address

12605 NE 7TH Ave
North Miami, FL 33161-4813
Phone (305) 893-9883

Other identifiers 1

IdentifierTypeStateIssuer
390145900MedicaidFL

National Provider Directory

National Provider Directory

Locations

12605 NE 7th Ave
North Miami, FL 33161
Phone (305) 893-9883

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1326364985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 NE 7TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614813",
            "telephone_number": "305-893-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 NE 7TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614813",
            "telephone_number": "305-893-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MIAMI FOOT & ANKLE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-893-9883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO  2398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390145900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.