Individual provider Active NPI

Lawrence I Teixeira, D.C.

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1518145200
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8822 Issued in FL
Practice address
817 Douglas Ave
Ste. 179
Altamonte Springs, FL 32714-5200
Phone
(407) 331-5050
NPI assigned
Feb 5, 2008
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8822 FL Primary
Chiropractor 111N00000X 2945 NC

Addresses

Primary practice location

817 Douglas Ave
Ste. 179
Altamonte Springs, FL 32714-5200

Mailing address

817 Douglas Ave
Ste. 179
Altamonte Springs, FL 32714-5200
Phone (407) 331-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000144 FL Practitioner - Chiropractic 7315951167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

817 Douglas Ave
Suite 179
Altamonte Springs, FL 32714-5200
Phone (407) 331-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8822FLMDChiropractor
2945NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Teixeria DC PA Chiropractor CurrentSince Jan 2, 2006 Accepting new patients
A Functional Approach, PA PastSince Jan 2, 2006 Accepting new patients

Locations

817 Douglas Ave
Ste 179
Altamonte Springs, FL 32714
Phone (407) 331-5050

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1518145200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DOUGLAS AVE",
            "address_2": "STE. 179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145200",
            "telephone_number": "407-331-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 DOUGLAS AVE",
            "address_2": "STE. 179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145200",
            "telephone_number": "407-331-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "LAWRENCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8822",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.