Larry J Kipp, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P0000655 Issued in FL

Practice address

5145 Deer Park Dr
New Port Richey, FL 34653-7013

Phone

(727) 847-2406

Fax

(855) 552-3776

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larry J. Kipp DPM, PA

  • Podiatrist
  • New Port Richey, FL
  • NPI 1528215779
  Medicare reassignment NPD Authorized official
• Larry J. Kipp DPM PA

  • Podiatrist
  • New Port Richey, FL
  • NPI 1992953186
  NPD Authorized official
• David M Allen DPM PA

  • Podiatrist
  • New Port Richey, FL
  • NPI 1407107428
  NPD (past)
• Foot and Ankle Physicians P a

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
  • NPI 1326100579
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1770699738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 N DALE MABRY HWY STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142669",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-847-2406",
            "fax_number": "855-552-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346553000",
            "country_code": "US",
            "telephone_number": "727-376-6060",
            "fax_number": "727-376-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3720 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843621",
            "country_code": "US",
            "telephone_number": "727-781-4220",
            "fax_number": "727-375-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5155 Deer Park Dr # A-2",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346537013",
            "country_code": "US",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Taray De Avila",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336131024",
            "country_code": "US",
            "telephone_number": "813-767-8861",
            "fax_number": "813-962-7769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 N Dale Mabry Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142669",
            "country_code": "US",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 N Dale Mabry Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142669",
            "country_code": "US",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPP",
        "first_name": "LARRY",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00414977",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.