NPIMap

Organization Active NPI

Certified Foot & Ankle Specialists

Doing business as Multi-Specialty Physician Specialists

  • Non-Pharmacy Dispensing Site
  • Vero Beach, FL
National Provider Identifier
1497406508
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CERTIFIED FOOT & ANKLE SPECIALISTS
Doing business as
Multi-Specialty Physician Specialists
Practice address
1285 36TH St Ste 203
Vero Beach, FL 32960-6588
Phone
(772) 567-0111
Fax
(772) 257-6521
NPI assigned
Jan 11, 2022
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Kyle J KinmonNPI 1023076312
Title
President/DPM
Phone
(561) 995-0229

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

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

Mailing address

PO Box 746232
Atlanta, GA 30374-6232
Phone (754) 702-3359

Other names 1

  • Multi-Specialty Physician Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Certified Foot Ankle Speci3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1497406508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746232",
            "telephone_number": "754-702-3359",
            "fax_number": "561-288-9045"
        },
        {
            "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": "CERTIFIED FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KINMON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/DPM",
        "authorized_official_telephone_number": "561-995-0229"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multi-Specialty Physician Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multi-Specialty Physician Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2024; 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.