Organization Active NPI

Luxepodiatry, PLLC

  • Podiatrist
  • Wellington, FL
National Provider Identifier
1720437429
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3631 Issued in FL
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

Updated by the provider on Jun 3, 2016

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.