Organization Active NPI

Beaver Valley Foot Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Coraopolis, PA
National Provider Identifier
1306474499
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEAVER VALLEY FOOT CLINIC PC
Practice address
937 Beaver Grade Rd Ste 9
Coraopolis, PA 15108-4728
Phone
(412) 262-5440
Fax
(878) 313-3339
NPI assigned
Apr 1, 2020
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Christina Teimouri, DPMNPI 1073679908
Title
Owner
Phone
(878) 313-3338

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

937 Beaver Grade Rd Ste 9
Coraopolis, PA 15108-4728

Mailing address

500 Market St Ste 101
Beaver, PA 15009-2998
Phone (878) 313-3338

Other identifiers 1

IdentifierTypeStateIssuer
1023237290003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drteimouri@bvfcandavc.medentdirect.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2438 Brodhead Rd
Aliquippa, PA 15001
Phone (412) 973-3368

447 Maplewood Ave
Ambridge, PA 15003
Phone (724) 775-6188

800 Old Pond Rd
Ste 702A
Bridgeville, PA 15017
Phone (412) 564-3040

937 Beaver Grade Rd
Ste 9
Coraopolis, PA 15108
Phone (878) 313-3338

Practitioners & affiliated clinicians

Practitioners 6

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": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1306474499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 101",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 BEAVER GRADE RD STE 9",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084728",
            "telephone_number": "412-262-5440",
            "fax_number": "878-313-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "TEIMOURI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "878-313-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023237290003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drteimouri@bvfcandavc.medentdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "937 Beaver Grade Rd",
            "city": "Coraopolis",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151084728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.