NPIMap

Organization Active NPI

Theresa M Ledbetter DPM PC

  • Podiatrist
  • Pasco, WA
National Provider Identifier
1780754663
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
THERESA M LEDBETTER DPM PC
Practice address
704 W Margaret St
Pasco, WA 99301-4127
Phone
(509) 545-5906
Fax
(509) 547-5999
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Theresa Marie Ledbetter Chen, DPM
Title
President
Phone
(509) 545-5906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X DP00140 OR
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X WA Primary

Addresses

Primary practice location

704 W Margaret St
Pasco, WA 99301-4127

Mailing address

704 W Margaret
Pasco, WA 99301
Phone (509) 545-5906

Other identifiers 1

IdentifierTypeStateIssuer
1005412MedicaidWA

Other names 1

  • Theresa Ledbetter DPM Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1780754663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W MARGARET",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-545-5906",
            "fax_number": "509-547-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W MARGARET ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014127",
            "telephone_number": "509-545-5906",
            "fax_number": "509-547-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M LEDBETTER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER CHEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-545-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00140",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005412",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theresa Ledbetter DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.