Active NPI
Richard Lionel Teixeira, MD
- Pediatrics Physician
- Lincoln, RI
National Provider Identifier
1194807917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD04929
- Practice address
- 6 Blackstone Valley Place
Suite 306B
Lincoln, RI 02865 - Phone
- (401) 334-4021
- Fax
- (401) 334-4886
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD04929 | RI | Primary |
| Pediatrics Physician | 208000000X | 208835 | MA |
Addresses
Primary practice location
6 Blackstone Valley Place
Suite 306B
Lincoln, RI 02865
Mailing address
16 Edelweiss Avenue
Lincoln, RI 02865
Phone (401) 333-9049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003407 | Medicaid | RI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208835 | MA | MD | Pediatrics Physician |
| MD04929 | RI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194807917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 EDELWEISS AVENUE",
"city": "LINCOLN",
"state": "RI",
"postal_code": "02865",
"telephone_number": "401-333-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PLACE",
"address_2": "SUITE 306B",
"city": "LINCOLN",
"state": "RI",
"postal_code": "02865",
"telephone_number": "401-334-4021",
"fax_number": "401-334-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIXEIRA",
"first_name": "RICHARD",
"middle_name": "LIONEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD04929",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "208835",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003407",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.