Active NPI
Keith J Kalish DPM PA
- Foot Surgery Podiatrist
- Vero Beach, FL
National Provider Identifier
1437211802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO-001790
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO-001790 | Other | FL | STATE LIC# |
National Provider Directory
National Provider DirectoryNPI 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.