Deland Foot and Leg Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3160 Issued in FL

Legal business name

DELAND FOOT AND LEG CENTER, LLC

Practice address

844 N Stone St Ste 208
Deland, FL 32720-3208

Phone

(386) 738-3733

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jenneffer Schneller Pulapaka, DPMNPI 1619979457

Title

Owner/ Manager

Phone

(386) 738-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenneffer Pulapaka, DPM

  • Foot & Ankle Surgery Podiatrist
  • Deland, FL
  • NPI 1619979457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1154516185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 208",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-738-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 208",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-738-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND FOOT AND LEG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "PULAPAKA",
        "authorized_official_first_name": "JENNEFFER",
        "authorized_official_middle_name": "SCHNELLER",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "386-738-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340518400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deland Central Physicians Assoc
• Deland Dental
• Deland Family Medicine PA
• Deland FL Alf Opco LLC
• Deland FL Opco, LLC
• Deland Geriatric Care, Inc.
• Deland Manor Assisted Living Corp
• Deland Medical Center LLC
• Deland Pediatric Associates M.D.P.a.
• Deland Primary Care and Aesthetics LLC

• Foot & Ankle Surgery Podiatrist in Deland, FL
• Providers in Deland, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.