Individual provider Active NPI

Javier Lorenzo Tapia, M.D.

  • Pediatrics Physician
  • Greenville, AL
National Provider Identifier
1629066691
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00024891 Issued in AL
Practice address
46 L V Stabler Dr
Greenville, AL 36037-3865
Phone
(334) 382-9760
Fax
(334) 383-9331
NPI assigned
Oct 12, 2005
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00024891 AL Primary

Addresses

Primary practice location

46 L V Stabler Dr
Greenville, AL 36037-3865

Mailing address

46 L V Stabler Dr
Greenville, AL 36037-3865
Phone (334) 382-9760

Other identifiers 2

IdentifierTypeStateIssuer
051520896OtherALBLUE CROSS
541390503MedicaidAL

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00024891ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LV Stabler Primary Care LLC Pediatrics Past Accepting new patients
Pediatric Rural Health Clinics, Inc Pediatrics Past Accepting new patients

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1629066691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 L V STABLER DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373865",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 L V STABLER DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373865",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "JAVIER",
        "middle_name": "LORENZO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00024891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051520896",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541390503",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.