NPIMap

Organization Active NPI

Comprehensive Podiatric Care Center PC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1316120983
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
SC003609L Issued in PA
Legal business name
COMPREHENSIVE PODIATRIC CARE CENTER PC
Practice address
2429 Brown St
Philadelphia, PA 19130-1930
Phone
(215) 236-4088
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Mr. Kenneth J Dortone, DPM
Title
Podiatrist
Phone
(215) 236-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC003609L PA Primary

Addresses

Primary practice location

2429 Brown St
Philadelphia, PA 19130-1930

Mailing address

2429 Brown St
Philadelphia, PA 19130-1930
Phone (215) 236-4088

Other names 1

  • Kenneth J. Dortone, DPM Other name

National Provider Directory

National Provider Directory

Locations

2429 Brown St
Philadelphia, PA 19130
Phone (215) 236-4088

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1316120983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 BROWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301930",
            "telephone_number": "215-236-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 BROWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301930",
            "telephone_number": "215-236-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PODIATRIC CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "DORTONE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "215-236-4088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC003609L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth J. Dortone, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.