Individual provider Active NPI

Lawrence Scott Weprin IV, M.D.

  • Otolaryngology Physician
  • Garland, TX
National Provider Identifier
1679528103
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E0184 Issued in TX
Practice address
7150 N. Pres. George Bush Hwy
#202
Garland, TX 75044
Phone
(972) 414-0408
Fax
(972) 495-9084
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E0184 TX Primary

Addresses

Primary practice location

7150 N. Pres. George Bush Hwy
#202
Garland, TX 75044

Mailing address

7150 N. Pres. George Bush Hwy
#202
Garland, TX 75044
Phone (972) 414-0408

Other identifiers 3

IdentifierTypeStateIssuer
110212104MedicaidTX
110212102MedicaidTX
8BU520OtherTXBCBS

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
E0184TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matt Sloan MD PLLC Past Accepting new patients
Lawrence S. Weprin PastSince Jan 1, 1975 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lweprin225199@direct.sw.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1679528103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 N. PRES. GEORGE BUSH HWY",
            "address_2": "#202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "972-414-0408",
            "fax_number": "972-495-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N. PRES. GEORGE BUSH HWY",
            "address_2": "#202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "972-414-0408",
            "fax_number": "972-495-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEPRIN",
        "first_name": "LAWRENCE",
        "middle_name": "SCOTT",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E0184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110212104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110212102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BU520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.