Active NPI
Glen Schneider DPM PA
- Podiatrist
- Boca Raton, FL
National Provider Identifier
1558544767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2857
- Legal business name
- GLEN SCHNEIDER DPM PA
- Practice address
- 9080 Kimberly Blvd Ste 5
Boca Raton, FL 33434-2862 - Phone
- (561) 487-3500
- Fax
- (561) 487-5994
- NPI assigned
- Dec 11, 2007
- Last updated
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glen B Schneider, DPM
- Title
- President
- Phone
- (561) 487-3500
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2857 | FL | Primary |
Addresses
Primary practice location
9080 Kimberly Blvd Ste 5
Boca Raton, FL 33434-2862
Mailing address
9080 Kimberly Blvd Ste 5
Boca Raton, FL 33434-2862
Phone (561) 487-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340249500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9250 Glades Rd
Ste 106
Boca Raton, FL 33434
Phone (561) 482-4300
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- Boca Raton, FL
- NPI 1801951918
-
- Podiatrist
- Boca Raton, FL
- NPI 1992718126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1558544767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9080 KIMBERLY BLVD STE 5",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342862",
"telephone_number": "561-487-3500",
"fax_number": "561-487-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9080 KIMBERLY BLVD STE 5",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342862",
"telephone_number": "561-487-3500",
"fax_number": "561-487-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN SCHNEIDER DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-487-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340249500",
"state": "FL"
}
],
"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 Apr 17, 2024; 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.