Organization Active NPI

South Dade Orthopaedics Assocaites

  • Orthopaedic Surgery Physician
  • Village of Palmetto Bay, FL
National Provider Identifier
1730187394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
100290-6 Issued in FL
Legal business name
SOUTH DADE ORTHOPAEDICS ASSOCAITES
Practice address
9299 SW 152ND St
Ste 103
Village of Palmetto Bay, FL 33157-1775
Phone
(305) 255-3050
Fax
(305) 252-8683
NPI assigned
Jul 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elliot N. Lang, MD
Title
President/Owner
Phone
(305) 255-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 100290-6 FL Primary

Addresses

Primary practice location

9299 SW 152ND St
Ste 103
Village of Palmetto Bay, FL 33157-1775

Mailing address

PO Box 562262
Miami, FL 33456-2262
Phone (305) 255-3050

National Provider Directory

National Provider Directory
Tax ID family
South Dade Orthopaedics Assocaites3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730187394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562262",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "334562262",
            "telephone_number": "305-255-3050",
            "fax_number": "305-252-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST",
            "address_2": "STE 103",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571775",
            "telephone_number": "305-255-3050",
            "fax_number": "305-252-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE ORTHOPAEDICS ASSOCAITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-255-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "100290-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.