DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
NPI 1386036234
Podiatrist - Foot & Ankle Surgery in Upper Marlboro, MD

Active since March 02, 2015
10507 OBSERVATORY PL, UPPER MARLBORO, MD 20772(404) 606-7449 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2019, Jan 15, 2019 (2 updates tracked since 2019).

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About DE LA SOLE PODIATRIC MEDICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for De La Sole Podiatric Medical Services Llc, a provider established in Upper Marlboro, Maryland operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1386036234 assigned on March 2015. The practitioner's primary taxonomy code is 213ES0103X with license number 01544 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kiana Rene Trent Dpm (Owner)

NPI
1386036234 Verify this NPI
Provider Name
DE LA SOLE PODIATRIC MEDICAL SERVICES LLC
Entity Type
Organization
Location Address
10507 OBSERVATORY PL UPPER MARLBORO, MD 20772
Location Phone
(404) 606-7449
Mailing Address
10507 OBSERVATORY PL UPPER MARLBORO, MD 20772
Mailing Phone
(404) 606-7449
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2015
Last Update Date
01-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
01544
License State
MD

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIANA RENE TRENT DPM

Authorized Official Title
OWNER
Authorized Official Phone
(404) 606-7449

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386036234, enumerated as an "organization" on March 02, 2015.

The provider is located at 10507 OBSERVATORY PL UPPER MARLBORO, MD 20772 and the phone number is (404) 606-7449.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.