Organization Active NPI

K Thepveera MD PC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1457628273
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KT032947 Issued in MI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Kriangsak Thepveera, M.D.NPI 1922167246
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1329574MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.