NPIMap

Organization Active NPI

Ortho Florida, LLC

Doing business as Delray Orthopaedic Center

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1891289377
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
ORTHO FLORIDA, LLC
Doing business as
Delray Orthopaedic Center
Practice address
5130 Linton Blvd Ste B2
Delray Beach, FL 33484-6595
Phone
(561) 665-7701
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHO FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Dane Trask
Title
Ceo
Phone
(813) 787-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU Primary

Addresses

Primary practice location

5130 Linton Blvd Ste B2
Delray Beach, FL 33484-6595

Mailing address

751 Park of Commerce Dr Ste 112
Boca Raton, FL 33487-3622
Phone (561) 215-2348

Other names 1

  • Delray Orthopaedic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180907001774 FL DME Supplier - Physician - General PracticeDME Supplier - Physician - Orthopedic/Orthopedic Surgery 3274616453 Practice locations: Delray Beach, FL

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Ortho Florida LLC46 organizations share this tax ID, including this one
Part of
Ortho Florida LLC

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1891289377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR STE 112",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873622",
            "telephone_number": "561-215-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD STE B2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846595",
            "telephone_number": "561-665-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-787-1128"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delray Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.