Active NPI
Daniel H Trachtenberg, D.O.
- Diagnostic Radiology Physician
- Palm Beach, FL
National Provider Identifier
1770864795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS1762
- Practice address
- 3546 S Ocean Blvd
#901
Palm Beach, FL 33480-5739 - Phone
- (561) 588-0315
- NPI assigned
- Sep 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS1762 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | OS002394L | PA |
Addresses
Primary practice location
3546 S Ocean Blvd
#901
Palm Beach, FL 33480-5739
Mailing address
3546 S Ocean Blvd
#901
Palm Beach, FL 33480-5739
Phone (561) 588-0315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002394L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J R Miller DO & R R Di Pietro DO Assc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nuclear Imaging & Therapy Physician
- York, PA
- NPI 1184604027
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1770864795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3546 S OCEAN BLVD",
"address_2": "#901",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334805739",
"telephone_number": "561-588-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3546 S OCEAN BLVD",
"address_2": "#901",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334805739",
"telephone_number": "561-588-0315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACHTENBERG",
"first_name": "DANIEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-03",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS1762",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS002394L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.