Active NPI
Beaver Valley Foot Clinic PC
- Durable Medical Equipment & Medical Supplies
- Cranberry Township, PA
National Provider Identifier
1346878436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023237290005 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drteimouri@bvfcandavc.medentdirect.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.