Organization Active NPI

Lawrence Warren, D.P.M.,P.C.

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1407885353
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0465 Issued in TX
Legal business name
LAWRENCE WARREN, D.P.M.,P.C.
Practice address
3109 6TH Ave
Fort Worth, TX 76110-3800
Phone
(817) 921-5339
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Lawrence Warren, D.P.M.
Title
Owner
Phone
(817) 921-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0465 TX Primary

Addresses

Primary practice location

3109 6TH Ave
Fort Worth, TX 76110-3800

Mailing address

3109 6TH Ave
Fort Worth, TX 76110-3800
Phone (817) 921-5339

Other identifiers 2

IdentifierTypeStateIssuer
0070PWOtherTXBLUE CROSS BLUE SHIELD
00Z585OtherTXMEDICARE

National Provider Directory

National Provider Directory

Locations

909 Southeast Pkwy
Ste 107
Azle, TX 76020
Phone (817) 444-1519

3109 6th Ave
Fort Worth, TX 76110
Phone (682) 312-7339

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1407885353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "817-921-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "817-921-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WARREN, D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-921-5339",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0070PW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Z585",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.