NPIMap

Organization Active NPI

Peritus Technical Services LLC

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1437400876
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME30779 Issued in FL
Legal business name
PERITUS TECHNICAL SERVICES LLC
Practice address
301 Yamato Rd Ste 1100
Boca Raton, FL 33431-4901
Phone
(877) 302-9070
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Russell Packard, MO
Title
Director
Phone
(877) 302-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME30779 FL Primary

Addresses

Primary practice location

301 Yamato Rd Ste 1100
Boca Raton, FL 33431-4901

Mailing address

301 Yamato Rd Ste 1100
Boca Raton, FL 33431-4901
Phone (877) 302-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1437400876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD STE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314901",
            "telephone_number": "877-302-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD STE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314901",
            "telephone_number": "877-302-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERITUS TECHNICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-302-9070",
        "authorized_official_credential": "MO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30779",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2012; 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.