Individual provider Active NPI

Edward Daniels III, CERTIFIED PEDORTHIST

  • Pedorthist
  • Oakland Park, FL
National Provider Identifier
1932507407
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
300 E Oakland Park Blvd
369
Oakland Park, FL 33334-2148
Phone
(954) 915-4911
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X Primary

Addresses

Primary practice location

300 E Oakland Park Blvd
369
Oakland Park, FL 33334-2148

Mailing address

300 E Oakland Park Blvd
369
Oakland Park, FL 33334-2148
Phone (954) 915-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1932507407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "369",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "954-915-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "369",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "954-915-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "EDWARD",
        "name_suffix": "III",
        "credential": "CERTIFIED PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.