Pardee Foot Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PARDEE FOOT CLINIC

Practice address

1808 W International Speedway Blvd Ste 304a
Daytona Beach, FL 32114-1227

Phone

(734) 778-2190

NPI assigned

Nov 4, 2020

Organization subpart

Yes

Parent organization

PARDEE FOOT CLINICAs reported in NPPES

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

Authorized official

Name

Dr. Theodore Bens, DPMNPI 1669562815

Title

Owner

Phone

(734) 778-2190

Specialties & licenses 1

Addresses

Other names 1

• T. Bens DPM Other name

Part of

Pardee Foot Clinic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Bens, DPM

  • Podiatrist
  • Taylor, MI
  • NPI 1669562815
  NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1881295079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 W INTERNATIONAL SPEEDWAY BLVD STE 304A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141227",
            "telephone_number": "734-778-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W INTERNATIONAL SPEEDWAY BLVD STE 304A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141227",
            "telephone_number": "734-778-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDEE FOOT CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARDEE FOOT CLINIC",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "BENS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-778-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T. Bens DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Morgan Palladino, APRN
• Glen Michael Palmisano, DC
• Johanna Paneto
• Vivekanand Pantangi, M.D.
• Edward Anthony Pappagallo, DC
• Lynval Parke, NP
• Cindy Renee Parker, DHSC, PA-C
• Courtney Alexis Parker, MA, LMHC
• Jamie L Parker, RBT
• Parnell

• Podiatrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.