Active NPI
Laurence I Dorman, DPM
- Podiatrist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO1226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029629500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9570 SW 107 Ave
Suite 103
Miami, FL 33176-2791
Phone (305) 271-1564
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO1226 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Foot & Ankle Associates LLC | Podiatrist | Current | Accepting new patients |
| Florida Foot & Ankle Associates, LLC | Podiatrist | Current | 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.
-
- Podiatrist
- Miami Beach, FL
- NPI 1861506479
-
- Podiatrist
- Miami, FL
- NPI 1700543345
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.