Individual provider Active NPI

Van Wayne Teeters, M.D.

  • Specialist
  • The Woodlands, TX
National Provider Identifier
1508051947
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D4330 Issued in TX
Practice address
44 Waterway CT
The Woodlands, TX 77380-2641
Phone
(713) 527-8235
Fax
(281) 419-7321
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D4330 TX Primary

Addresses

Primary practice location

44 Waterway CT
The Woodlands, TX 77380-2641

Mailing address

44 Waterway CT
The Woodlands, TX 77380-2641
Phone (713) 527-8235

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D4330TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1508051947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WATERWAY CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802641",
            "telephone_number": "713-527-8235",
            "fax_number": "281-419-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WATERWAY CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802641",
            "telephone_number": "713-527-8235",
            "fax_number": "281-419-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETERS",
        "first_name": "VAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D4330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.