Organization Active NPI

Boca Raton Podiatry, PA

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1568536902
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0001527 Issued in FL
Legal business name
BOCA RATON PODIATRY, PA
Practice address
950 Glades Rd Ste 2a
Boca Raton, FL 33431-6401
Phone
(561) 395-4243
Fax
(561) 392-8353
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dennis Robert Frisch, DPMNPI 1114026929
Title
Podiatrist
Phone
(561) 395-4243

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO0001527 FL Primary

Addresses

Primary practice location

950 Glades Rd Ste 2a
Boca Raton, FL 33431-6401

Mailing address

950 Glades Rd Ste 2a
Boca Raton, FL 33431-6401
Phone (561) 395-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930069837 FL DME Supplier - Physician - Podiatry 5496873267 Practice locations: Boca Raton, FL
O20110718000534 FL Part B Supplier - Clinic/Group Practice 5496873267 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

950 Glades Rd
Ste 2A
Boca Raton, FL 33431
Phone (561) 395-4243

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1568536902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GLADES RD STE 2A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316401",
            "telephone_number": "561-395-4243",
            "fax_number": "561-392-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLADES RD STE 2A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316401",
            "telephone_number": "561-395-4243",
            "fax_number": "561-392-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "FRISCH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "561-395-4243",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001527",
            "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 Aug 30, 2023; 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.