Active NPI
David Wayne Talafuse, M.D.
- Family Medicine Physician
- Live Oak, TX
National Provider Identifier
1346355203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0869
- Practice address
- 11901 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3161 - Phone
- (210) 650-9066
- Fax
- (210) 650-9067
- NPI assigned
- Aug 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0869 | TX | Primary |
Addresses
Primary practice location
11901 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3161
Mailing address
11901 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3161
Phone (210) 650-9066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P1540 | Other | TX | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0869 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346355203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN RD",
"address_2": "SUITE 1201",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333161",
"telephone_number": "210-650-9066",
"fax_number": "210-650-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN RD",
"address_2": "SUITE 1201",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333161",
"telephone_number": "210-650-9066",
"fax_number": "210-650-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAFUSE",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H0869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8P1540",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, TX
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.