White Sands Podiatry LLC
NPI 1720811508 · Foot & Ankle Surgery Podiatrist · Crestview, FL
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
White Sands Podiatry LLC is a Foot & Ankle Surgery Podiatrist organization in Crestview, FL (NPI 1720811508).
Provider details
- NPI number
- 1720811508
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- White Sands Podiatry LLC
- Organization subpart
- Yes
- Authorized official
- Sean Hodson, Owner/Physician(850) 622-1607
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-08-26
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Frequently asked questions
- What is White Sands Podiatry LLC's NPI number?
- White Sands Podiatry LLC's National Provider Identifier (NPI) is 1720811508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White Sands Podiatry LLC?
- White Sands Podiatry LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is White Sands Podiatry LLC located?
- White Sands Podiatry LLC's practice location on file with NPPES is 502 South Ferdon Blvd, Crestview, FL 32536.
- What is White Sands Podiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for White Sands Podiatry LLC is (850) 622-1607.
- Does White Sands Podiatry LLC accept Medicare?
- White Sands Podiatry 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 White Sands Podiatry LLC?
- The authorized official listed on White Sands Podiatry LLC's NPPES record is Sean Hodson, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White Sands Podiatry LLC's NPI active?
- Yes — White Sands Podiatry LLC's NPI (1720811508) is active in the NPPES registry as of the last update on 2024-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.