Active NPI
James Phillip Long DPM PA
- Podiatrist
- Dunedin, FL
National Provider Identifier
1891960647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 601
- Legal business name
- JAMES PHILLIP LONG DPM PA
- Practice address
- 210 Patricia Ave
Dunedin, FL 34698-8124 - Phone
- (727) 736-6741
- Fax
- (727) 733-6965
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Phillip Long, DPM
- Title
- Doctor
- Phone
- (727) 736-6741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 601 | FL | Primary |
Addresses
Primary practice location
210 Patricia Ave
Dunedin, FL 34698-8124
Mailing address
210 Patricia Ave
Dunedin, FL 34698-8124
Phone (727) 736-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041218000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
210 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-4665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1891960647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PATRICIA AVE",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346988124",
"telephone_number": "727-736-6741",
"fax_number": "727-733-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PATRICIA AVE",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346988124",
"telephone_number": "727-736-6741",
"fax_number": "727-733-6965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES PHILLIP LONG DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "727-736-6741",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041218000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.