Organization Active NPI

Henning Mehrens, MD, Inc.

  • Family Medicine Physician
  • South Lake Tahoe, CA
National Provider Identifier
1316181555
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENNING MEHRENS, MD, INC.
Practice address
2130 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6405
Phone
(530) 541-3277
Fax
(530) 541-6913
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Henning Mehrens, MD
Title
Owner
Phone
(530) 541-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

2130 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6405

Mailing address

2130 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6405
Phone (530) 541-3277

National Provider Directory

National Provider Directory

Locations

2130 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 541-3277

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1316181555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506405",
            "telephone_number": "530-541-3277",
            "fax_number": "530-541-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506405",
            "telephone_number": "530-541-3277",
            "fax_number": "530-541-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNING MEHRENS, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MEHRENS",
        "authorized_official_first_name": "HENNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-541-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.