Organization Active NPI

Celine R. Soltani, DPM, P.a

  • Podiatrist
  • Delray Beach, FL
National Provider Identifier
1275538829
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3063 Issued in FL
Legal business name
CELINE R. SOLTANI, DPM, P.A
Doing business as
Foot Doctor of Delray
Practice address
14428 S Military TRL Unit B
Delray Beach, FL 33484-3720
Phone
(561) 498-3893
Fax
(800) 551-3458
NPI assigned
Jun 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Celine Reza Soltani, D.P.MNPI 1316134935
Title
Owner
Phone
(561) 498-3893

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3063 FL Primary

Addresses

Primary practice location

14428 S Military TRL Unit B
Delray Beach, FL 33484-3720

Mailing address

14428 S Military TRL Unit B
Delray Beach, FL 33484-3720
Phone (561) 498-3893

Other identifiers 2

IdentifierTypeStateIssuer
340538900MedicaidFL
65855OtherFLBCBS #

Other names 1

  • Foot Doctor of Delray Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000418 FL Part B Supplier - Clinic/Group Practice 2062453244 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

14428 S Military Trl
#B
Delray Beach, FL 33484
Phone (561) 498-3893

14428 S Military Trl
Unit B
Delray Beach, FL 33484
Phone (561) 498-3893

14426 S Military Trl
Delray Beach, FL 33484
Phone (561) 498-3893

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1275538829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14428 S MILITARY TRL UNIT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843720",
            "telephone_number": "561-498-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14428 S MILITARY TRL UNIT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843720",
            "telephone_number": "561-498-3893",
            "fax_number": "800-551-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELINE R. SOLTANI, DPM, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-19",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "CELINE",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-498-3893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340538900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "65855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Doctor of Delray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot Doctor of Delray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.