Caesar S Divino, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

164 Issued in AR

Practice address

2200 Fort Roots Dr BLDG 661
North Little Rock, AR 72114-1709

Phone

(501) 257-3474

Fax

(501) 257-3773

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Foot & Ankle Associates of Central Arkansas, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Little Rock, AR
  • NPI 1043383706
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1750312369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TURTLE CREEK CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112351",
            "telephone_number": "501-221-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR BLDG 661",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-3474",
            "fax_number": "501-257-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINO",
        "first_name": "CAESAR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145589748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Diemer, PHARM. D.
• Laura Leigh Dill, RD
• Joshua Daniel Dilley, M.D.
• Dahlia Distin, CNP
• Divine Medical Outreach Services
• Janette Lashay Dixon
• Keith Alan Dixon, MD
• Jennifer Stratton DO, MD
• Robin Carol Dobbs, APN
• Logan Dockery, PT, DPT, PHD

• Podiatrist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.