Individual provider Active NPI

Laura Ilona White, DPM

  • Podiatrist
  • Tamarac, FL
National Provider Identifier
1669413803
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2770 Issued in FL
Practice address
8307 NW 88TH Ave
Tamarac, FL 33321-1539
Phone
(954) 721-3411
Fax
(954) 721-3772
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2770 FL Primary

Addresses

Primary practice location

8307 NW 88TH Ave
Tamarac, FL 33321-1539

Mailing address

8307 NW 88TH Ave
Tamarac, FL 33321-1539
Phone (954) 721-3411

Other practice location 1

252 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone (954) 721-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2770FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sole Authority Podiatrist Current Accepting new patients
Laura I White DPM PA CurrentSince Jan 1, 2001 Accepting new patients

Locations

252 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 431-8855

8307 NW 88th Ave
Tamarac, FL 33321
Phone (954) 721-3411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1669413803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271721",
            "country_code": "US",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LAURA",
        "middle_name": "ILONA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.