Organization Active NPI

Toepperwein Family Practice, PA

  • Family Medicine Physician
  • Live Oak, TX
National Provider Identifier
1871789867
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7223 Issued in TX
Legal business name
TOEPPERWEIN FAMILY PRACTICE, PA
Practice address
11355 Toepperwein Rd
Live Oak, TX 78233-3230
Phone
(210) 654-7200
Fax
(210) 654-7211
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Moiz A Tajkhanji, M.D.
Title
Owner/President
Phone
(210) 654-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J7223 TX Primary

Addresses

Primary practice location

11355 Toepperwein Rd
Live Oak, TX 78233-3230

Mailing address

11355 Toepperwein Road
Live Oak, TX 78233-3230
Phone (210) 654-7200

Other identifiers 1

IdentifierTypeStateIssuer
130844701MedicaidTX

National Provider Directory

National Provider Directory

Locations

11355 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 483-9800

19186 Blanco Rd
Ste 102
San Antonio, TX 78258
Phone (210) 545-0700

Practitioners & affiliated clinicians

Practitioners 1

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1871789867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11355 TOEPPERWEIN ROAD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333230",
            "telephone_number": "210-654-7200",
            "fax_number": "210-654-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333230",
            "telephone_number": "210-654-7200",
            "fax_number": "210-654-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOEPPERWEIN FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "TAJKHANJI",
        "authorized_official_first_name": "MOIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-654-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130844701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.