Dovetail Orthopedics, LLC
NPI 1336920016 · Orthopaedic Foot and Ankle Surgery Physician · Fernandina Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dovetail Orthopedics, LLC is a Orthopaedic Foot and Ankle Surgery Physician organization in Fernandina Beach, FL (NPI 1336920016).
Provider details
- NPI number
- 1336920016
- Entity type
- Organization
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Santrock, Owner(304) 216-7960
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Dovetail Orthopedics, LLC's NPI number?
- Dovetail Orthopedics, LLC's National Provider Identifier (NPI) is 1336920016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dovetail Orthopedics, LLC?
- Dovetail Orthopedics, LLC is classified in the NPPES registry as Orthopaedic Foot and Ankle Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dovetail Orthopedics, LLC located?
- Dovetail Orthopedics, LLC's practice location on file with NPPES is 2416 Lynndale Rd Ste 102, Fernandina Beach, FL 32034-5201.
- What is Dovetail Orthopedics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dovetail Orthopedics, LLC is (904) 430-7132.
- Does Dovetail Orthopedics, LLC accept Medicare?
- Dovetail Orthopedics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dovetail Orthopedics, LLC?
- The authorized official listed on Dovetail Orthopedics, LLC's NPPES record is Robert Santrock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dovetail Orthopedics, LLC's NPI active?
- Yes — Dovetail Orthopedics, LLC's NPI (1336920016) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.