Organization Active NPI

Ira Spinner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1003090937
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2393 Issued in FL
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

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Ira Spinner, DPMNPI 1366556136
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
390148300MedicaidFL
65312OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050127000824 FL Part B Supplier - Clinic/Group Practice 0648220590 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, FL
O20100930049225 FL DME Supplier - Physician - Podiatry 0648220590 Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.