Active NPI
Lawrence Warren, D.P.M.,P.C.
- Podiatrist
- Fort Worth, TX
National Provider Identifier
1407885353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0465
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070PW | Other | TX | BLUE CROSS BLUE SHIELD |
| 00Z585 | Other | TX | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.