Organization Active NPI

Lawrence Teixeria DC PA

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1144202672
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8822 Issued in FL
Legal business name
LAWRENCE TEIXERIA DC PA
Practice address
817 Douglas Ave
Ste 179
Altamonte Springs, FL 32714-5200
Phone
(407) 331-5050
Fax
(407) 331-5189
NPI assigned
Nov 18, 2005
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Lawrence Isidro Teixeira, DCNPI 1518145200
Title
President
Phone
(407) 331-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8822 FL Primary

Addresses

Primary practice location

817 Douglas Ave
Ste 179
Altamonte Springs, FL 32714-5200

Mailing address

817 Douglas Ave
Ste 179
Altamonte Springs, FL 32714-5200
Phone (407) 331-5050

Other identifiers 1

IdentifierTypeStateIssuer
70060OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060131000726 FL Part B Supplier - Clinic/Group Practice 7416961263 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1144202672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DOUGLAS AVE",
            "address_2": "STE 179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145200",
            "telephone_number": "407-331-5050",
            "fax_number": "407-331-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 DOUGLAS AVE",
            "address_2": "STE 179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145200",
            "telephone_number": "407-331-5050",
            "fax_number": "407-331-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE TEIXERIA DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ISIDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-331-5050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70060",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.