South Florida Back Spine and Scoliosis

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SOUTH FLORIDA BACK SPINE AND SCOLIOSIS

Practice address

15300 S Jog Rd
Delray Beach, FL 33446-2162

Phone

(561) 345-1780

Fax

(561) 214-4007

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Matthew HeplerNPI 1942236609

Title

Owner

Phone

(312) 375-6337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Hepler, MD

  • Orthopaedic Surgery of the Spine Physician
  • Delray Beach, FL
  • NPI 1942236609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1992214464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N FEDERAL HWY UNIT 611",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-345-1780",
            "fax_number": "561-214-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 N Dixie Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333343454",
            "country_code": "US",
            "telephone_number": "561-345-1780",
            "fax_number": "561-214-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA BACK SPINE AND SCOLIOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "HEPLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-375-6337"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.