NPIMap

Organization Active NPI

South Dade Orthopedic- Homestead

  • Non-Pharmacy Dispensing Site
  • Homestead, FL
National Provider Identifier
1760520654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
BL8501808 Issued in FL
Legal business name
SOUTH DADE ORTHOPEDIC- HOMESTEAD
Practice address
957 N Krome Ave
Homestead, FL 33030-4408
Phone
(305) 245-6866
NPI assigned
Feb 2, 2007
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
Dr. Elliot Lang
Title
Physician
Phone
(305) 245-6866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X BL8501808 FL Primary

Addresses

Primary practice location

957 N Krome Ave
Homestead, FL 33030-4408

Mailing address

3607 Old Conejo Rd
Thousand Oaks, CA 91320-2123

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760520654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "305-245-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE ORTHOPEDIC- HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-245-6866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "BL8501808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, 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.