NPIMap

Organization Active NPI

Olupona Foot and Ankle, LLC

  • Podiatrist
  • Miami, FL
National Provider Identifier
1861045155
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OLUPONA FOOT AND ANKLE, LLC
Practice address
1600 NW 17TH Ave
Miami, FL 33125-2327
Phone
(305) 635-0335
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Bamidele Olugbenga OluponaNPI 1548502867
Title
Owner
Phone
(202) 321-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1600 NW 17TH Ave
Miami, FL 33125-2327

Mailing address

2601 SW 37TH Ave Ste 904
Miami, FL 33133-2751

National Provider Directory

National Provider Directory
Tax ID family
Olupona Foot and Ankle LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1861045155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252327",
            "telephone_number": "305-635-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUPONA FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "OLUPONA",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_middle_name": "OLUGBENGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-321-8812"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 17, 2019; 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.