Organization Active NPI

Pineapple Podiatry, LLC

  • Podiatrist
  • Delray Beach, FL
National Provider Identifier
1568682391
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2990 Issued in FL
Legal business name
PINEAPPLE PODIATRY, LLC
Practice address
10 NE 2ND St
Delray Beach, FL 33444-3717
Phone
(561) 272-7171
Fax
(561) 272-9564
NPI assigned
Apr 26, 2007
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Deborah Lynn Reilly
Title
Office Manager
Phone
(561) 350-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 2990 FL Primary

Addresses

Primary practice location

10 NE 2ND St
Delray Beach, FL 33444-3717

Mailing address

10 NE 2ND St
Delray Beach, FL 33444-3717
Phone (561) 272-7171

National Provider Directory

National Provider Directory

Locations

10 NE 2nd St
Delray Beach, FL 33444
Phone (561) 272-7171

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1568682391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NE 2ND ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443717",
            "telephone_number": "561-272-7171",
            "fax_number": "561-272-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NE 2ND ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443717",
            "telephone_number": "561-272-7171",
            "fax_number": "561-272-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEAPPLE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-350-0111"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.