Organization Active NPI

Foot Doctors of the Palm Beaches, Inc.

  • Podiatrist
  • West Palm Beach, FL
National Provider Identifier
1649349416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT DOCTORS OF THE PALM BEACHES, INC.
Practice address
1411 N Flagler Dr Ste 6600
West Palm Beach, FL 33401-3427
Phone
(561) 655-1026
Fax
(561) 659-7270
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth A Hamberg, D.P.M.
Title
President
Phone
(561) 655-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 6600
West Palm Beach, FL 33401-3427

Mailing address

1411 N Flagler Dr Ste 6600
West Palm Beach, FL 33401-3427
Phone (561) 655-1026

Other identifiers 1

IdentifierTypeStateIssuer
77343OtherFLBC-BS FL

National Provider Directory

National Provider Directory

Locations

8190 Okeechobee Blvd
Ste 101
West Palm Beach, FL 33411
Phone (561) 683-3230

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649349416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013427",
            "telephone_number": "561-655-1026",
            "fax_number": "561-659-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013427",
            "telephone_number": "561-655-1026",
            "fax_number": "561-659-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DOCTORS OF THE PALM BEACHES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-1026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS FL",
            "identifier": "77343",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.