Individual provider Active NPI

Theodore Lamotta, MD

  • Specialist
  • Tequesta, FL
National Provider Identifier
1740225085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME93274 Issued in FL
Practice address
9173 SE Deerberry PL
Tequesta, FL 33469-1805
Phone
(561) 459-7460
NPI assigned
Jun 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME93274 FL Primary

Addresses

Primary practice location

9173 SE Deerberry PL
Tequesta, FL 33469-1805

Mailing address

9173 SE Deerberry PL
Tequesta, FL 33469-1805
Phone (561) 459-7460

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
ME93274FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grandeur Medical Office Inc. Specialist Past Accepting new patients
Karem Medical Center Past Accepting new patients
Genesis Health Network, Inc Past Accepting new patients
Medi-Attend Corp Specialist Past Accepting new patients

Organizations & group practices 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740225085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9173 SE DEERBERRY PL",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691805",
            "telephone_number": "561-459-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9173 SE DEERBERRY PL",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691805",
            "telephone_number": "561-459-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTA",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME93274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.