Organization Active NPI

Beaver Valley Foot Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Cranberry Township, PA
National Provider Identifier
1346878436
Registry record updated Apr 1, 2020
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
20555 Route 19 Ste D
Cranberry Township, PA 16066-7525
Phone
(724) 772-3668
Fax
(878) 313-3339
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

20555 Route 19 Ste D
Cranberry Township, PA 16066-7525

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1023237290005MedicaidPA

Electronic endpoints 1

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

National Provider Directory

National Provider Directory

Locations

20555 Route 19
Ste D
Cranberry Twp, PA 16066
Phone (724) 772-3668

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": "1585699200000",
    "number": "1346878436",
    "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": "20555 ROUTE 19 STE D",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667525",
            "telephone_number": "724-772-3668",
            "fax_number": "878-313-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023237290005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drteimouri@bvfcandavc.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Meaasaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20555 Route 19 Ste D",
            "city": "Cranberry Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160667525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.