Active NPI
K Thepveera MD PC
- Family Medicine Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- KT032947
- Legal business name
- K THEPVEERA MD PC
- Practice address
- 1731 N Michigan Ave
Saginaw, MI 48602-5344 - Phone
- (989) 755-4438
- Fax
- (989) 755-4693
- NPI assigned
- Nov 22, 2011
- Last updated
- May 1, 2012
- 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
- Dr. Kriangsak Thepveera, M.D.
- Title
- Owner
- Phone
- (989) 755-4438
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KT032947 | MI | Primary |
Addresses
Primary practice location
1731 N Michigan Ave
Saginaw, MI 48602-5344
Mailing address
1731 N Michigan Ave
Saginaw, MI 48602-5344
Phone (989) 755-4438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1329574 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1731 N Michigan Ave
Saginaw, MI 48602
Phone (517) 755-4438
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1922167246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1457628273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 N MICHIGAN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025344",
"telephone_number": "989-755-4438",
"fax_number": "989-755-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 N MICHIGAN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025344",
"telephone_number": "989-755-4438",
"fax_number": "989-755-4693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K THEPVEERA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-22",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "THEPVEERA",
"authorized_official_first_name": "KRIANGSAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-755-4438",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "KT032947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1329574",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.