NPIMap

Organization Active NPI

De la Sole Podiatric Medical Services LLC

  • Foot & Ankle Surgery Podiatrist
  • Upper Marlboro, MD
National Provider Identifier
1386036234
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01544 Issued in MD
Legal business name
DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
Practice address
10507 Observatory PL
Upper Marlboro, MD 20772-8511
Phone
(404) 606-7449
NPI assigned
Mar 2, 2015
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Dr. Kiana Rene Trent, DPMNPI 1760706139
Title
Owner
Phone
(404) 606-7449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01544 MD Primary

Addresses

Primary practice location

10507 Observatory PL
Upper Marlboro, MD 20772-8511

Mailing address

10507 Observatory PL
Upper Marlboro, MD 20772-8511
Phone (404) 606-7449

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1386036234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 OBSERVATORY PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728511",
            "telephone_number": "404-606-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 OBSERVATORY PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728511",
            "telephone_number": "404-606-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA SOLE PODIATRIC MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "KIANA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-606-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.