Templar Rising LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

TEMPLAR RISING LLC

Practice address

275 Commercial Blvd.
Suite #200
Lauderdale by the Sea, FL 33308

Phone

(954) 909-0540

Fax

(954) 368-7405

NPI assigned

Jun 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hotse Bart Langeraar

Title

Ceo

Phone

(954) 909-0540

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1619405693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COMMERCIAL BLVD.",
            "address_2": "SUITE #200",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-909-0540",
            "fax_number": "954-368-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COMMERCIAL BLVD.",
            "address_2": "SUITE #200",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-909-0540",
            "fax_number": "954-368-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLAR RISING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "LANGERAAR",
        "authorized_official_first_name": "HOTSE",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-909-0540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.