Active NPI
Ira Spinner DPM PA
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
National Provider Identifier
1003090937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2393
- Legal business name
- IRA SPINNER DPM PA
- Practice address
- 10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3536 - Phone
- (561) 734-4867
- Fax
- (561) 736-7433
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Spinner, DPM
- Title
- Owner
- Phone
- (561) 734-4867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2393 | FL | Primary |
Addresses
Primary practice location
10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3536
Mailing address
10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3536
Phone (561) 734-4867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390148300 | Medicaid | FL | |
| 65312 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
10075 S Jog Rd
Ste 208
Boynton Beach, FL 33437
Phone (561) 499-8048
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
- NPI 1366556136
-
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
- NPI 1770539090
-
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
- NPI 1336795590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1003090937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 JOG RD",
"address_2": "STE 208",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373536",
"telephone_number": "561-734-4867",
"fax_number": "561-736-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 JOG RD",
"address_2": "STE 208",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373536",
"telephone_number": "561-734-4867",
"fax_number": "561-736-7433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRA SPINNER DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "SPINNER",
"authorized_official_first_name": "IRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-734-4867",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390148300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65312",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.