Active NPI
David Alan Padden, MD
- Orthopaedic Surgery Physician
- Boca Raton, FL
National Provider Identifier
1336236215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 76590
- Practice address
- 9970 Central Park Blvd N Ste 400
Boca Raton, FL 33428-2236 - Phone
- (561) 430-0461
- Fax
- (561) 227-9234
- NPI assigned
- Oct 10, 2006
- Last updated
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 76590 | FL | Primary |
Addresses
Primary practice location
9970 Central Park Blvd N Ste 400
Boca Raton, FL 33428-2236
Mailing address
601 N Flamingo Rd Ste 316
Pembroke Pines, FL 33028-1015
Phone (954) 391-8101
Other practice location 1
601 N Flamingo Rd Ste 316
Pembroke Pines, FL 33028-1015
Phone (954) 391-8101
Other practice location 2
2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone (954) 523-3422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260420500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76590 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1336236215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 316",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-391-8101",
"fax_number": "954-404-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9970 CENTRAL PARK BLVD N STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334282236",
"telephone_number": "561-430-0461",
"fax_number": "561-227-9234"
}
],
"practiceLocations": [
{
"address_1": "601 N Flamingo Rd Ste 316",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281015",
"country_code": "US",
"telephone_number": "954-391-8101",
"fax_number": "954-404-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2307 W Broward Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333121420",
"country_code": "US",
"telephone_number": "954-523-3422",
"fax_number": "954-486-4238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADDEN",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "76590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260420500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.