Organization Active NPI

Kenneth R. Beer, MD PA

  • Dermatology Physician
  • Jupiter, FL
National Provider Identifier
1114347713
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME59480 Issued in FL
Legal business name
KENNETH R. BEER, MD PA
Practice address
641 University Blvd
Suite 212
Jupiter, FL 33458-2791
Phone
(561) 430-2767
Fax
(561) 932-1711
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. Kenneth R. Beer, MDNPI 1699764993
Title
President
Phone
(561) 655-9055

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X ME59480 FL Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X ME59480 FL
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X ME59480 FL
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X ME59480 FL

Addresses

Primary practice location

641 University Blvd
Suite 212
Jupiter, FL 33458-2791

Mailing address

1500 N Dixie Hwy
Suite 305
West Palm Beach, FL 33401-2712
Phone (561) 655-9055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbeer@beerdermatology.ezderm.info

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00177
  • Direct secure messaging: kbeer@beerdermatology.ezderm.info

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1114347713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "SUITE 305",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-655-9055",
            "fax_number": "561-655-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD",
            "address_2": "SUITE 212",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582791",
            "telephone_number": "561-430-2767",
            "fax_number": "561-932-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. BEER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-04-29",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME59480",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME59480",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME59480",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME59480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbeer@beerdermatology.ezderm.info",
            "affiliation": "N",
            "address_1": "1500 N Dixie Hwy Ste 305",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334012717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.