Active NPI
Luxepodiatry, PLLC
- Podiatrist
- Wellington, FL
National Provider Identifier
1720437429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3631
- Legal business name
- LUXEPODIATRY, PLLC
- Practice address
- 1093 Summerwood Cir
Wellington, FL 33414 - Phone
- (347) 820-2531
- NPI assigned
- Jun 3, 2016
- 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. Lady Dejesus, DPM
- Title
- Co-Owner
- Phone
- (347) 820-2531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3631 | FL | Primary |
Addresses
Primary practice location
1093 Summerwood Cir
Wellington, FL 33414
Mailing address
1093 Summerwood Cir
Wellington, FL 33414-5148
National Provider Directory
National Provider DirectoryLocations
6231 Pga Blvd
Palm Beach Gardens, FL 33418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464912000000",
"number": "1720437429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1093 SUMMERWOOD CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 SUMMERWOOD CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "347-820-2531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXEPODIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A",
"authorized_official_last_name": "DEJESUS",
"authorized_official_first_name": "LADY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "347-820-2531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.