Organization Active NPI

Naples Foot Doctor, LLC

  • Podiatric Clinic/Center
  • Naples, FL
National Provider Identifier
1629349840
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO3399 Issued in FL
Legal business name
NAPLES FOOT DOCTOR, LLC
Practice address
5490 Bryson Dr
Suite 201
Naples, FL 34109-0924
Phone
(239) 325-8717
Fax
(866) 214-2666
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Eliot Sherr, DPM
Title
Ceo
Phone
(978) 531-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PO3399 FL Primary

Addresses

Primary practice location

5490 Bryson Dr
Suite 201
Naples, FL 34109-0924

Mailing address

5490 Bryson Dr
Suite 201
Naples, FL 34109-0924
Phone (239) 325-8717

National Provider Directory

National Provider Directory

Locations

5490 Bryson Dr
Ste 202
Naples, FL 34109
Phone (239) 625-8717

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1629349840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 BRYSON DR",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090924",
            "telephone_number": "239-325-8717",
            "fax_number": "866-214-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 BRYSON DR",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090924",
            "telephone_number": "239-325-8717",
            "fax_number": "866-214-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES FOOT DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "SHERR",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-531-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "PO3399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.