Active NPI
Lavern K Schepp, P.A.
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1619055662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1287
- Practice address
- 1424 S 7TH Ave BLDG C
Phoenix, AZ 85007-3902 - Phone
- (602) 258-3600
- Fax
- (602) 256-0514
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1287 | ND | Primary |
Addresses
Primary practice location
1424 S 7TH Ave BLDG C
Phoenix, AZ 85007-3902
Mailing address
3450 N 3Rd St
Phoenix, AZ 85012-2331
Phone (602) 265-8338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638554 | Medicaid | AZ |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1287 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1619055662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122331",
"telephone_number": "602-265-8338",
"fax_number": "602-265-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 S 7TH AVE BLDG C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073902",
"telephone_number": "602-258-3600",
"fax_number": "602-256-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPP",
"first_name": "LAVERN",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "1287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "638554",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.