Active NPI
Ira Bennett, DPM
- Podiatrist
- New Port Richey, FL
National Provider Identifier
1962499327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO821
- Practice address
- 1810 Wellness LN
New Port Richey, FL 34655-5357 - Phone
- (727) 848-3433
- Fax
- (727) 376-4141
- NPI assigned
- Sep 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO821 | FL | Primary |
Addresses
Primary practice location
1810 Wellness LN
New Port Richey, FL 34655-5357
Mailing address
1810 Wellness LN
New Port Richey, FL 34655-5357
Phone (727) 848-3433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO821 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1962499327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 WELLNESS LN",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346555357",
"telephone_number": "727-848-3433",
"fax_number": "727-376-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 WELLNESS LN",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346555357",
"telephone_number": "727-848-3433",
"fax_number": "727-376-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.