Individual provider Active NPI

Laurence I Dorman, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1730153016
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1226 Issued in FL
Practice address
9570 SW 107TH Ave
Suite 103
Miami, FL 33176-2788
Phone
(305) 271-1564
Fax
(305) 271-5079
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1226 FL Primary

Addresses

Primary practice location

9570 SW 107TH Ave
Suite 103
Miami, FL 33176-2788

Mailing address

8200 NW 27 St
Ste 108
Doral, FL 33122-1906
Phone (786) 662-3893

Other identifiers 1

IdentifierTypeStateIssuer
029629500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000456 FL Practitioner - Podiatry 7012935059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Foot and Ankle Associates, LLC.Group PAC ID 8628173465, 24 clinicians

Practice addresses (Care Compare)

9570 SW 107 Ave
Suite 103
Miami, FL 33176-2791
Phone (305) 271-1564

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1226FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates LLC Podiatrist CurrentSince Dec 1, 2000 Accepting new patients
Florida Foot & Ankle Associates, LLC Podiatrist CurrentSince Dec 1, 2006 Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

9570 SW 107th Ave
Ste 103
Miami, FL 33176
Phone (305) 271-1564

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1730153016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27 ST",
            "address_2": "STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221906",
            "telephone_number": "786-662-3893",
            "fax_number": "786-660-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762788",
            "telephone_number": "305-271-1564",
            "fax_number": "305-271-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "LAURENCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029629500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.