Individual provider Active NPI

Alan D Sirota, DPM

  • Podiatrist
  • Casselberry, FL
National Provider Identifier
1699715854
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1395 Issued in FL
Practice address
2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916
Phone
(407) 695-7075
Fax
(407) 695-2069
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1395 FL Primary

Addresses

Primary practice location

2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916

Mailing address

2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916
Phone (407) 695-7075

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1699715854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD STE 300",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075916",
            "telephone_number": "407-695-7075",
            "fax_number": "407-695-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD STE 300",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075916",
            "telephone_number": "407-695-7075",
            "fax_number": "407-695-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTA",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.