Organization Active NPI

John P Lavery, MD, PA

  • Clinical Medical Laboratory
  • Allen, TX
National Provider Identifier
1861803801
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D1021094 Issued in TX
Legal business name
JOHN P LAVERY, MD, PA
Practice address
997 Raintree Cir
Suite 120
Allen, TX 75013-4949
Phone
(972) 747-0709
Fax
(972) 747-7991
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
John P Lavery, MD
Title
Owner
Phone
(972) 747-0709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D1021094 TX Primary

Addresses

Primary practice location

997 Raintree Cir
Suite 120
Allen, TX 75013-4949

Mailing address

997 Raintree Cir
Suite 120
Allen, TX 75013-4949
Phone (972) 747-0709

National Provider Directory

National Provider Directory
Tax ID family
John P Lavery MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

997 Raintree Cir
Ste 120
Allen, TX 75013
Phone (972) 747-0709

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1861803801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 RAINTREE CIR",
            "address_2": "SUITE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134949",
            "telephone_number": "972-747-0709",
            "fax_number": "972-747-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 RAINTREE CIR",
            "address_2": "SUITE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134949",
            "telephone_number": "972-747-0709",
            "fax_number": "972-747-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P LAVERY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "LAVERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-747-0709",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1021094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.