Organization Active NPI

National Podiatric Network Inc

  • Foot & Ankle Surgery Podiatrist
  • Doral, FL
National Provider Identifier
1386643286
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2910,PO2282,PO2971 Issued in FL
Legal business name
NATIONAL PODIATRIC NETWORK INC
Practice address
9831 NW 58TH St
Suite # 127
Doral, FL 33178-2713
Phone
(305) 221-6862
Fax
(305) 221-2033
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. Manuel J SoneNPI 1396744272
Title
President
Phone
(305) 221-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2910,PO2282,PO2971 FL Primary

Addresses

Primary practice location

9831 NW 58TH St
Suite # 127
Doral, FL 33178-2713

Mailing address

9831 NW 58TH St
Suite # 127
Doral, FL 33178-2713
Phone (305) 221-6862

Other identifiers 1

IdentifierTypeStateIssuer
340104900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000782 FL Part B Supplier - Clinic/Group Practice 5395795645 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL; Doral, FL; Hialeah, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1386643286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 NW 58TH ST",
            "address_2": "SUITE # 127",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782713",
            "telephone_number": "305-221-6862",
            "fax_number": "305-221-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 NW 58TH ST",
            "address_2": "SUITE # 127",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782713",
            "telephone_number": "305-221-6862",
            "fax_number": "305-221-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PODIATRIC NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "SONE",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-6862",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2910,PO2282,PO2971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340104900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.