Organization Active NPI

Lawrence a Czelusta, DPM, PC

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1447675970
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0633 Issued in TX
Legal business name
LAWRENCE A CZELUSTA, DPM, PC
Practice address
9325 Schoenthal Rd
San Antonio, TX 78266-2858
Phone
(210) 656-6383
Fax
(210) 651-9097
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Lawrence A Czelusta, D.P.M.
Title
President
Phone
(210) 656-6383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0633 TX Primary

Addresses

Primary practice location

9325 Schoenthal Rd
San Antonio, TX 78266-2858

Mailing address

9325 Schoenthal Rd
San Antonio, TX 78266-2858
Phone (210) 656-6383

Other identifiers 1

IdentifierTypeStateIssuer
0633OtherTXPODIATRY LICENSE

National Provider Directory

National Provider Directory

Locations

9325 Schoenthal Rd
Unit 1
San Antonio, TX 78266
Phone (210) 656-6383

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447675970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 SCHOENTHAL RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662858",
            "telephone_number": "210-656-6383",
            "fax_number": "210-651-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 SCHOENTHAL RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662858",
            "telephone_number": "210-656-6383",
            "fax_number": "210-651-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A CZELUSTA, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CZELUSTA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-656-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "0633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.