NPIMap

Organization Active NPI

Paul J. Peters, D.P.M., P.C.

  • Foot Surgery Podiatrist
  • Jupiter, FL
National Provider Identifier
1134424799
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 528 Issued in FL
Legal business name
PAUL J. PETERS, D.P.M., P.C.
Practice address
210 Jupiter Lakes Blvd Ste 4106
Jupiter Lakes Medical Park
Jupiter, FL 33458-7190
Phone
(561) 744-6677
Fax
(561) 744-1416
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Paul J Peters
Title
Owner
Phone
(561) 744-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO 528 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 4106
Jupiter Lakes Medical Park
Jupiter, FL 33458-7190

Mailing address

PO Box 1940
Jupiter, FL 33468-1940
Phone (561) 744-6677

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 4106
Jupiter, FL 33458
Phone (561) 744-6677

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1134424799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1940",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334681940",
            "telephone_number": "561-744-6677",
            "fax_number": "561-744-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4106",
            "address_2": "JUPITER LAKES MEDICAL PARK",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-744-6677",
            "fax_number": "561-744-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. PETERS, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-744-6677",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 2, 2011; 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.