Individual provider Active NPI

Danielle Vieira, C. PED

  • Pedorthist
  • Haddon Heights, NJ
National Provider Identifier
1144854357
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
45PD00001200 Issued in NJ
Practice address
17 White Horse Pike Ste 10a
Haddon Heights, NJ 08035-1239
Phone
(856) 546-8989
Fax
(856) 546-8905
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X 45PD00001200 NJ Primary

Addresses

Primary practice location

17 White Horse Pike Ste 10a
Haddon Heights, NJ 08035-1239

Mailing address

17 White Horse Pike Ste 10a
Haddon Heights, NJ 08035-1239
Phone (856) 546-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45PD00001200NJMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1144854357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE STE 10A",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351239",
            "telephone_number": "856-546-8989",
            "fax_number": "856-546-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE STE 10A",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351239",
            "telephone_number": "856-546-8989",
            "fax_number": "856-546-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "C. PED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NJ",
            "license": "45PD00001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.