Organization Active NPI

Smita Malhotra DPM PA

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1356400642
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3096 Issued in FL
Legal business name
SMITA MALHOTRA DPM PA
Practice address
4213 Metron Dr
Jacksonville, FL 32216-1012
Phone
(904) 534-6830
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Smita Malhotra, DPM
Title
Owner
Phone
(904) 534-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3096 FL Primary

Addresses

Primary practice location

4213 Metron Dr
Jacksonville, FL 32216-1012

Mailing address

PO Box 551380
Jacksonville, FL 32255-1380

National Provider Directory

National Provider Directory

Locations

1650 San Pablo Rd S
Ste 13
Jacksonville, FL 32224
Phone (904) 220-0630

14444 Beach Blvd
Ste 500
Jacksonville, FL 32250
Phone (904) 821-8829

14444 Beach Blvd
#500
Jacksonville, FL 32250
Phone (904) 821-8829

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1356400642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551380",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 METRON DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161012",
            "telephone_number": "904-534-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITA MALHOTRA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-534-6830",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.