Organization Active NPI

Keith J Kalish DPM PA

  • Foot Surgery Podiatrist
  • Vero Beach, FL
National Provider Identifier
1437211802
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO-001790 Issued in FL
Legal business name
KEITH J KALISH DPM PA
Practice address
1285 36TH St Ste 203
Vero Beach, FL 32960-6588
Phone
(772) 567-0111
Fax
(772) 257-6521
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Dr. Keith Jay Kalish, DPM
Title
Owner
Phone
(772) 567-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO-001790 FL Primary

Addresses

Primary practice location

1285 36TH St Ste 203
Vero Beach, FL 32960-6588

Mailing address

1285 36TH St Ste 203
Vero Beach, FL 32960-6588
Phone (772) 567-0111

Other identifiers 1

IdentifierTypeStateIssuer
PO-001790OtherFLSTATE LIC#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1437211802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-567-0111",
            "fax_number": "772-257-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-567-0111",
            "fax_number": "772-257-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J KALISH DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "KALISH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-567-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO-001790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC#",
            "identifier": "PO-001790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.