Organization Active NPI

Panepinto Podiatry, LLC

  • Podiatrist
  • Metairie, LA
National Provider Identifier
1720352727
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD.299R Issued in LA
Legal business name
PANEPINTO PODIATRY, LLC
Practice address
1801 Clearview Pkwy
Metairie, LA 70001-2451
Phone
(504) 376-4664
Fax
(504) 210-8799
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Rory Paul Panepinto, D.P.M.NPI 1427003284
Title
Owner
Phone
(504) 264-3668

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PD.299R LA Primary

Addresses

Primary practice location

1801 Clearview Pkwy
Metairie, LA 70001-2451

Mailing address

1801 Clearview Pkwy
Metairie, LA 70001-8816
Phone (504) 376-4664

Other identifiers 1

IdentifierTypeStateIssuer
5DX19OtherLAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000861 LA Part B Supplier - Clinic/Group Practice 5496915571 Receives reassigned benefits from 1 practitioner
Practice locations: Kenner, LA; Metairie, LA

National Provider Directory

National Provider Directory

Locations

2650 Veterans Memorial Dr
Abbeville, LA 70510
Phone (337) 898-0069

Practitioners & affiliated clinicians

Practitioners 2

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": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1720352727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700018816",
            "telephone_number": "504-376-4664",
            "fax_number": "504-210-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012451",
            "telephone_number": "504-376-4664",
            "fax_number": "504-210-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANEPINTO PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "PANEPINTO",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-264-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD.299R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "5DX19",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.