Individual provider Active NPI

Daniel C Van Riper, D.O

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1245673060
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76518 Issued in GA
Practice address
1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-3507
Phone
(770) 338-0089
Fax
(770) 338-0091
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76518 GA Primary

Addresses

Primary practice location

1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-3507

Mailing address

1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-3507
Phone (770) 338-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000628 GA Practitioner - Family Practice 4880985894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrenceville Family PracticeGroup PAC ID 6406752799, 2 clinicians

Practice addresses (Care Compare)

1730 Lawrenceville Rd
Lawrenceville, GA 30043
Phone (770) 338-0089

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
76518GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Family Practice CurrentSince Nov 22, 2016 Accepting new patients

Locations

1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone 7703380089 ext. 241

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DABBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DABBDD/Endpoint/DABBDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1245673060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 LAWRENCEVILLE SUWANEE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433507",
            "telephone_number": "770-338-0089",
            "fax_number": "770-338-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 LAWRENCEVILLE SUWANEE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433507",
            "telephone_number": "770-338-0089",
            "fax_number": "770-338-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RIPER",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "76518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.