NPIMap

Organization Active NPI

Certified Foot & Ankle Specialists

Doing business as Multi-Specialty Physician Services

  • Non-Pharmacy Dispensing Site
  • Fort Lauderdale, FL
National Provider Identifier
1538766738
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 Services
Practice address
6405 N Federal Hwy Ste 405
Ft Lauderdale, FL 33308-1414
Phone
(954) 771-5900
Fax
(954) 771-5959
NPI assigned
Oct 1, 2020
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CERTIFIED FOOT & ANKLE SPECIALISTSAs reported in NPPES

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 Kinmon, MDNPI 1023076312
Title
President
Phone
(561) 995-0229

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

6405 N Federal Hwy Ste 405
Ft Lauderdale, FL 33308-1414

Mailing address

1601 Clint Moore Rd Ste 180
Boca Raton, FL 33487-5713
Phone (561) 995-0229

Other names 1

  • Multi-Specialty Physician Services Doing business as

National Provider Directory

National Provider Directory
Part of
Certified Foot Ankle Speci

Practitioners & affiliated clinicians

Practitioners 3

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": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1538766738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 180",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875713",
            "telephone_number": "561-995-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY STE 405",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081414",
            "telephone_number": "954-771-5900",
            "fax_number": "954-771-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERTIFIED FOOT & ANKLE SPECIALISTS",
        "enumeration_date": "2020-10-01",
        "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",
        "authorized_official_telephone_number": "561-995-0229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "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 Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multi-Specialty Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, 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.