Organization Active NPI

Orthopedic Specialty Care Center PA

  • Specialist
  • Bonita Springs, FL
National Provider Identifier
1740499045
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78272 Issued in FL
Legal business name
ORTHOPEDIC SPECIALTY CARE CENTER PA
Practice address
24231 Walden Center Dr Ste 201
Bonita Springs, FL 34134-5012
Phone
(239) 390-2174
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Aldo R Beretta, MD
Title
Owner
Phone
(239) 390-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME78272 FL Primary

Addresses

Primary practice location

24231 Walden Center Dr Ste 201
Bonita Springs, FL 34134-5012

Mailing address

24231 Walden Center Dr Ste 201
Bonita Springs, FL 34134-5012
Phone (239) 390-2174

National Provider Directory

National Provider Directory

Locations

24231 Walden Center Dr
#20
Estero, FL 34134

24231 Walden Center Dr
Ste 201
Estero, FL 34134
Phone (239) 390-2174

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1740499045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24231 WALDEN CENTER DR STE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341345012",
            "telephone_number": "239-390-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24231 WALDEN CENTER DR STE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341345012",
            "telephone_number": "239-390-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALTY CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BERETTA",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-390-2174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.