Individual provider Active NPI

Jeffrey John Trantalis, DPM

  • Podiatrist
  • Delray Beach, FL
National Provider Identifier
1346287372
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2685 Issued in FL
Practice address
15300 Jog Road
Suite 107/108
Delray Beach, FL 33446-2164
Phone
(561) 742-5959
Fax
(561) 734-2226
NPI assigned
May 31, 2006
Last updated
Sep 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2685 FL Primary

Addresses

Primary practice location

15300 Jog Road
Suite 107/108
Delray Beach, FL 33446-2164

Mailing address

1004 SE 17TH Street
Deerfield Beach, FL 33441-7437
Phone (954) 418-6980

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

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Mobile Diagnostic, LLC Podiatrist PastSince Aug 4, 2005 Accepting new patients
Coast to Coast Podiatry Inc Podiatrist PastSince Mar 28, 2021 Accepting new patients
George Varounis DPM Podiatrist Past Accepting new patients
South Palm Orthospine Institute Past Accepting new patients
Dr. David C. Martin, DPM,PL Podiatrist PastSince Mar 28, 2021 Accepting new patients
South Palm Orthospine Institute PastSince Jan 5, 2007 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1346287372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SE 17TH STREET",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334417437",
            "telephone_number": "954-418-6980",
            "fax_number": "954-596-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG ROAD",
            "address_2": "SUITE 107/108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANTALIS",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 2010; 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.