Organization Active NPI

Leopoldo Lapuerta Jr, M.D., P.a.

  • Plastic Surgery Physician
  • Pearland, TX
National Provider Identifier
1508048836
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H6365 Issued in TX
Legal business name
LEOPOLDO LAPUERTA JR, M.D., P.A.
Practice address
2360 County Road 94
Suite 104
Pearland, TX 77584-4884
Phone
(713) 655-1116
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Leopoldo Lapuerta Jr., MDNPI 1437165073
Title
Owner
Phone
(713) 655-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X H6365 TX Primary

Addresses

Primary practice location

2360 County Road 94
Suite 104
Pearland, TX 77584-4884

Mailing address

2360 County Road 94
Suite 104
Pearland, TX 77584-4884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000246 TX Part B Supplier - Clinic/Group Practice 8527026913 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1508048836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 COUNTY ROAD 94",
            "address_2": "SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 COUNTY ROAD 94",
            "address_2": "SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844884",
            "telephone_number": "713-655-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOPOLDO LAPUERTA JR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "LAPUERTA",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-655-1116",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H6365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.