NPIMap

Organization Active NPI

Olupona Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Hialeah, FL
National Provider Identifier
1487292892
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OLUPONA FOOT AND ANKLE LLC
Practice address
3233 Palm Ave
Hialeah, FL 33012-5427
Phone
(305) 826-0660
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Bamidele Olugbenga OluponaNPI 1548502867
Title
Physician
Phone
(202) 321-8812

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 Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

3233 Palm Ave
Hialeah, FL 33012-5427

Mailing address

2601 SW 37TH Ave Ste 904
Miami, FL 33133-2751

National Provider Directory

National Provider Directory
Tax ID family
Olupona Foot and Ankle LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the 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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1487292892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125427",
            "telephone_number": "305-826-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUPONA FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "OLUPONA",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_middle_name": "OLUGBENGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "202-321-8812"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.