Gary D Small DPM Corp

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GARY D SMALL DPM CORP

Doing business as

Coral Gables Podiatry Center

Practice address

2645 SW 37 Ave
#101
Miami, FL 33133

Phone

(305) 444-7114

Fax

(305) 444-9587

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Miss Samantha Martinez

Title

President

Phone

(305) 444-7114

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Coral Gables Podiatry Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gary D. Small DPM Corp

  • Non-Pharmacy Dispensing Site
  • Miami, FL
  • NPI 1902174758
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bamidele Olupona, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1548502867
  Medicare reassignment NPD
• Eric Zephirin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1700278322
  Medicare reassignment NPD
• Ehab Latif, DPM

  • Podiatrist
  • Miami, FL
  • NPI 1891053096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1528133022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SW 37 AVE",
            "address_2": "#101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-444-7114",
            "fax_number": "305-444-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37 AVE",
            "address_2": "#101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-444-7114",
            "fax_number": "305-444-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D SMALL DPM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-7114",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2363",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390143200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Gables Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coral Gables Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Garrote
• Ashling Laura Garthwaite, PHARMD
• Liliana Garvalosa, APRN
• Richard Earle Garvine, PH.D.
• Gary C Chierico MD PA
• Gary D. Small DPM Corp
• Gary R Rosen DDS
• Gary S Ziegler MD PA
• Arnulfo Garza Reyes, MD
• Annabelle Perla Garza

• Foot & Ankle Surgery Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.