Active NPI
Foot Seas Podiatry Inc
- Podiatrist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 3362
- Legal business name
- FOOT SEAS PODIATRY INC
- Practice address
- 787 37TH St
Ste E220
Vero Beach, FL 32960-7305 - Phone
- (772) 770-9127
- Fax
- (772) 770-1530
- NPI assigned
- May 7, 2015
- Last updated
- Mar 23, 2017
- 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
- Joshua C Roberts, DPM
- Title
- Owner
- Phone
- (772) 770-9127
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 3362 | FL | Primary |
Addresses
Primary practice location
787 37TH St
Ste E220
Vero Beach, FL 32960-7305
Mailing address
787 37TH St
Ste E220
Vero Beach, FL 32960-7305
Phone (772) 770-9127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019016900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150721002333 | FL | Part B Supplier - Clinic/Group Practice | 6901119882 |
Receives reassigned benefits from 1 practitioner Practice locations: Vero Beach, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Foot Seas Podiatry Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Vero Beach, FL
- NPI 1437522505
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.
-
- Podiatrist
- Vero Beach, FL
- NPI 1831366681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1508244856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 37TH ST",
"address_2": "STE E220",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607305",
"telephone_number": "772-770-9127",
"fax_number": "772-770-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 37TH ST",
"address_2": "STE E220",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607305",
"telephone_number": "772-770-9127",
"fax_number": "772-770-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SEAS PODIATRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-770-9127",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 3362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019016900",
"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 Mar 23, 2017; 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.