Organization Active NPI

Lawrence a Teplin DPM

  • Podiatrist
  • Danville, CA
National Provider Identifier
1174824544
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1397 Issued in CA
Legal business name
LAWRENCE A TEPLIN DPM
Practice address
909 San Ramon Valley Blvd
Suite #118
Danville, CA 94526-4038
Phone
(925) 362-1080
Fax
(925) 362-1083
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Lawrence A Teplin, DPM
Title
President
Phone
(925) 362-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E1397 CA Primary

Addresses

Primary practice location

909 San Ramon Valley Blvd
Suite #118
Danville, CA 94526-4038

Mailing address

909 San Ramon Valley Blvd
Suite #118
Danville, CA 94526-4038
Phone (925) 362-1080

Other identifiers 1

IdentifierTypeStateIssuer
000E13920MedicaidCA

National Provider Directory

National Provider Directory

Locations

2540 East St
#A2
Concord, CA 94520
Phone (925) 362-1080

909 San Ramon Valley Blvd
Ste 118
Danville, CA 94526
Phone (925) 362-1080

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1174824544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE #118",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-362-1080",
            "fax_number": "925-362-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE #118",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-362-1080",
            "fax_number": "925-362-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A TEPLIN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "TEPLIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-362-1080",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E13920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.