NPIMap

Organization Active NPI

White Sands Podiatry LLC

Doing business as White Sands Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Crestview, FL
National Provider Identifier
1518542182
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WHITE SANDS PODIATRY LLC
Doing business as
White Sands Podiatry
Practice address
502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238
Phone
(850) 622-1607
Fax
(888) 302-6552
NPI assigned
Mar 15, 2021
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Sean C Hodson, DPMNPI 1114225380
Title
Physician
Phone
(850) 622-1607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238

Mailing address

771 Harbor Blvd Ste 400 #410
Destin, FL 32541-2638
Phone (850) 622-1607

Other practice location 1

1032 Mar Walt Dr Unit 100
Fort Walton Beach, FL 32547-6661
Phone (850) 622-1607

Other practice location 2

4012 Commons Dr W Ste 110
Destin, FL 32541-8424
Phone (850) 622-1607

Other practice location 3

4400 E Highway 20 Ste 201
Niceville, FL 32578-7700
Phone (850) 622-1607

Other identifiers 1

IdentifierTypeStateIssuer
472092001OtherFLTAX ID#

Other names 2

  • White Sands Podiatry Doing business as
  • White Sands Podiatry FWB Other name

National Provider Directory

National Provider Directory
Tax ID family
White Sands Podiatry LLC3 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.

Locations

502 S Ferdon Blvd
#B
Crestview, FL 32536
Phone (850) 682-8550

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1518542182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 HARBOR BLVD STE 400 #410",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412638",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S FERDON BLVD STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364238",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 Mar Walt Dr Unit 100",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476661",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Commons Dr W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418424",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 E Highway 20 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325787700",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITE SANDS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "HODSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-622-1607",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "472092001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Sands Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Sands Podiatry FWB",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "White Sands Podiatry FWB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.