Organization Active NPI

Gary D. Small DPM Corp

  • Non-Pharmacy Dispensing Site
  • Miami, FL
National Provider Identifier
1902174758
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GARY D. SMALL DPM CORP
Doing business as
Coral Gables Podiatry Center
Practice address
2645 SW 37TH Ave
Suite 704
Miami, FL 33133-2754
Phone
(305) 444-7114
Fax
(305) 444-9587
NPI assigned
Dec 8, 2011
Organization subpart
Yes
Parent organization
GARY D. SMALL DPM CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Samantha Martinez
Title
Owner
Phone
(305) 444-7114

Specialties & licenses 1

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

Addresses

Primary practice location

2645 SW 37TH Ave
Suite 704
Miami, FL 33133-2754

Mailing address

2645 SW 37TH Ave
Suite 704
Miami, FL 33133-2754
Phone (305) 444-7114

Other names 1

  • Coral Gables Podiatry Center Doing business as

National Provider Directory

National Provider Directory
Part of
Gary D Small DPM

Locations

2645 SW 37th Ave
Ste 704
Miami, FL 33133
Phone (305) 444-7114

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1902174758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 704",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-444-7114",
            "fax_number": "305-444-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 704",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-444-7114",
            "fax_number": "305-444-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. SMALL DPM CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY D. SMALL DPM CORP",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-444-7114"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Gables Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2016; 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.