Active NPI
Daniel B Depalma, DPM
- Podiatrist
- Stoneboro, PA
National Provider Identifier
1447273685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003088L
- Practice address
- 358 Caldwell Rd
Stoneboro, PA 16153-2812 - Phone
- (724) 376-4172
- Fax
- (412) 741-1332
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003088L | PA | Primary |
Addresses
Primary practice location
358 Caldwell Rd
Stoneboro, PA 16153-2812
Mailing address
358 Caldwell Rd
Stoneboro, PA 16153-2812
Phone (724) 376-4172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183765 | Other | PA | ALL THE BLUES & HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1447273685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 CALDWELL RD",
"city": "STONEBORO",
"state": "PA",
"postal_code": "161532812",
"telephone_number": "724-376-4172",
"fax_number": "412-741-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 CALDWELL RD",
"city": "STONEBORO",
"state": "PA",
"postal_code": "161532812",
"telephone_number": "724-376-4172",
"fax_number": "412-741-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPALMA",
"first_name": "DANIEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003088L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL THE BLUES & HIGHMARK",
"identifier": "183765",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoneboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.