NPIMap

Organization Active NPI

Integrative Foot and Ankle LLC

  • Podiatrist
  • West Palm Beach, FL
National Provider Identifier
1386910305
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3394 Issued in FL
Legal business name
INTEGRATIVE FOOT AND ANKLE LLC
Practice address
5405 Okeechobee Blvd #303
West Palm Beach, FL 33417
Phone
(561) 293-3439
Fax
(561) 689-1844
NPI assigned
Mar 23, 2012
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Daniel J Pero, DPMNPI 1891918215
Title
Owner
Phone
(586) 873-8913

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3608 FL
Podiatrist 213E00000X PO3394 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3394 FL
Foot Surgery Podiatrist 213ES0131X PO3394 FL
Foot Surgery Podiatrist 213ES0131X PO3608 FL

Addresses

Primary practice location

5405 Okeechobee Blvd #303
West Palm Beach, FL 33417

Mailing address

5405 Okeechobee Blvd #303
West Palm Beach, FL 33417
Phone (561) 293-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120823000204 FL Part B Supplier - Clinic/Group Practice 5496902611 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
Practice locations: West Palm Beach, FL
O20190826002867 FL DME Supplier - Physician - General Practice 5496902611 Practice locations: West Palm Beach, FL
O20260123001452 GA Part B Supplier - Clinic/Group Practice 5496902611 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2168542Integrative Foot and Ankle, LLC5405 Okeechobee Blvd Ste 303, West Palm Beach, FL 33417ComplianceJan 21, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1386910305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD #303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-293-3439",
            "fax_number": "561-689-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD #303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-293-3439",
            "fax_number": "561-689-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "PERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-873-8913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3608",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3394",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3394",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3394",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.