White Sands Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3469 Issued in FL

Legal business name

WHITE SANDS PODIATRY LLC

Practice address

502 S Ferdon Blvd
Crestview, FL 32536-4238

Phone

(850) 622-1607

Fax

(888) 302-6552

NPI assigned

Mar 25, 2015

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Charles Hodson, DPMNPI 1114225380

Title

Physician

Phone

(850) 622-1607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

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.

• Sean C Hodson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crestview, FL
  • NPI 1114225380
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1659765865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 US HWY 98",
            "address_2": "STE 3410",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "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",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364238",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HODSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CHARLES",
        "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": "FL",
            "license": "PO3469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ann Whatley
• Where You Are Therapy
• White Sands Podiatry LLC
• White Sands Podiatry LLC (White Sands Podiatry)
• White Sands Podiatry LLC
• White Sands Podiatry LLC
• Daniel Shayne White, DMD
• Elizebath White
• Katharine Lynn White, APRN, NP-C
• Robert Lance Whorton, PT, MS, MTC

• Foot & Ankle Surgery Podiatrist in Crestview, FL
• Providers in Crestview, 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 Dec 5, 2024; 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.