Individual provider Active NPI

David P Teicheira, M.D.

  • Interventional Pain Medicine Physician
  • Sacramento, CA
National Provider Identifier
1477520864
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G60747 Issued in CA
Practice address
83 Scripps Dr
Suite 310
Sacramento, CA 95825-6319
Phone
(916) 923-0900
Fax
(916) 923-0901
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X G60747 CA Primary

Addresses

Primary practice location

83 Scripps Dr
Suite 310
Sacramento, CA 95825-6319

Mailing address

PO Box 207
Davis, CA 95617-0207
Phone (916) 923-0900

Other identifiers 1

IdentifierTypeStateIssuer
00G607472OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Anesthesia Group, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.teicheira@1386.chartlogic.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1477520864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170207",
            "telephone_number": "916-923-0900",
            "fax_number": "916-923-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SCRIPPS DR",
            "address_2": "SUITE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256319",
            "telephone_number": "916-923-0900",
            "fax_number": "916-923-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICHEIRA",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G60747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00G607472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.