Individual provider Active NPI

Paul Weiner, CERTIFIED PEDORTHIST

  • Orthotic Fitter
  • Boca Raton, FL
National Provider Identifier
1003036633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Practice address
7036 W Palmetto Park Rd Ste 59
Boca Raton, FL 33433-3404
Phone
(561) 338-3838
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X Primary

Addresses

Primary practice location

7036 W Palmetto Park Rd Ste 59
Boca Raton, FL 33433-3404

Mailing address

7036 W Palmetto Park Rd Ste 59
Boca Raton, FL 33433-3404
Phone (561) 338-3838

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Footwear & Supply, Inc. Current Accepting new patients

Locations

7036 W Palmetto Park Rd
Ste 59
Boca Raton, FL 33433
Phone (561) 338-3838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003036633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 W PALMETTO PARK RD STE 59",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333404",
            "telephone_number": "561-338-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 W PALMETTO PARK RD STE 59",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333404",
            "telephone_number": "561-338-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED PEDORTHIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.