Organization Active NPI

Keith J. Kalish DPM,PA

  • Durable Medical Equipment & Medical Supplies
  • Vero Beach, FL
National Provider Identifier
1801958087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEITH J. KALISH DPM,PA
Practice address
1285 36TH St
Suite 203
Vero Beach, FL 32960-4885
Phone
(772) 567-0111
Fax
(772) 567-7117
NPI assigned
Dec 14, 2006
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. Keith Jay Kalish, DPM
Title
Owner
Phone
(772) 567-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1285 36TH St
Suite 203
Vero Beach, FL 32960-4885

Mailing address

1285 36TH St
Suite 203
Vero Beach, FL 32960-4885
Phone (772) 567-0111

Other identifiers 1

IdentifierTypeStateIssuer
PO 001790OtherFLSTATE LIC#

National Provider Directory

National Provider Directory
Tax ID family
Keith J Kalish DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801958087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST",
            "address_2": "SUITE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604885",
            "telephone_number": "772-567-0111",
            "fax_number": "772-567-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST",
            "address_2": "SUITE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604885",
            "telephone_number": "772-567-0111",
            "fax_number": "772-567-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J. KALISH DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALISH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-567-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC#",
            "identifier": "PO 001790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, 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.