Larry J. Kipp DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P0000655 Issued in FL

Legal business name

LARRY J. KIPP DPM, PA

Practice address

5145 Deer Park Dr
New Port Richey, FL 34653-7013

Phone

(727) 868-2128

Fax

(727) 868-7491

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry J KippNPI 1770699738

Title

President

Phone

(727) 868-2128

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Thomas S Matysik DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Larry J. Kipp DPM PA

  • Podiatrist
  • New Port Richey, FL
  • NPI 1992953186
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry J Kipp, DPM

  • Podiatrist
  • New Port Richey, FL
  • NPI 1770699738
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1528215779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-809-1555",
            "fax_number": "727-843-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-868-2128",
            "fax_number": "727-868-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16244 S Military Trl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846507",
            "country_code": "US",
            "telephone_number": "727-809-1555",
            "fax_number": "855-552-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARRY J. KIPP DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "KIPP",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-868-2128",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "406480172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Landrian, DMD, MD.
• Malcolm Lang
• Azaria Langston Branch
• Emilee Hope Lantagne
• Larry J. Kipp DPM PA
• Larry M. Perich Dopa (Perich Eye Center)
• Frank A. Lastra, M.D.
• Jenna Latona, MD
• Laura a. Kinkead, D.C., PA
• Brandy N Lavoy, PHARM, D

• Podiatrist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.