Vyacheslav Makarov DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3522 Issued in FL

Legal business name

VYACHESLAV MAKAROV DPM PA

Practice address

1400 NE Miami Gardens Dr Ste 105
North Miami Beach, FL 33179-4843

Phone

(305) 974-5933

NPI assigned

Jun 6, 2012

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vyacheslav Makarov, DPMNPI 1053572511

Title

DPM

Phone

(917) 324-0919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vyacheslav Makarov, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Fort Bragg, NC
  • NPI 1053572511
  Authorized official Same address or phone

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1902167810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 174TH ST",
            "address_2": "2214",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603332",
            "telephone_number": "917-324-0919",
            "fax_number": "305-354-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794843",
            "telephone_number": "305-974-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 174th St",
            "address_2": "2214",
            "address_purpose": "LOCATION",
            "city": "Sunny Isles Beach",
            "state": "FL",
            "postal_code": "331603332",
            "country_code": "US",
            "telephone_number": "917-324-0919",
            "fax_number": "305-354-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VYACHESLAV MAKAROV DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "MAKAROV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "917-324-0919",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.