Active NPI
Kenneth R. Beer, MD PA
- Dermatology Physician
- Jupiter, FL
National Provider Identifier
1114347713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME59480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth R. Beer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME59480 | FL | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME59480 | FL | |
| Dermatopathology Physician | 207ND0900X | ME59480 | FL | |
| Procedural Dermatology Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbeer@beerdermatology.ezderm.info |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://app.meldrx.com/api/fhir/ez_00177
- 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.
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1699764993
-
- Dermatology Physician
- Deerfield Beach, FL
- NPI 1275065815
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.