Individual provider Active NPI

David Michael Lawrence, DPM

  • Podiatrist
  • Westerly, RI
National Provider Identifier
1891729976
Registry record updated Jul 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM00225 Issued in RI
Practice address
85 Beach Street
BLDG C
Westerly, RI 02891
Phone
(401) 596-0823
Fax
(401) 596-2960
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM00225 RI Primary
Podiatrist 213E00000X 000428 CT

Addresses

Primary practice location

85 Beach Street
BLDG C
Westerly, RI 02891

Mailing address

85 Beach Street
BLDG C
Westerly, RI 02891
Phone (401) 596-0823

Other identifiers 19

IdentifierTypeStateIssuer
030000428CT01OtherCTANTHEM OF CT
030881OtherRIHEALTH NET
030881OtherCTHEALTHNET
2700176OtherRIUNITED HEALTHCARE
480033446OtherRIMETRAHEALTH
480033446OtherCTMETRAHEALTH
708699OtherCTCONNECTICARE
030881OtherCTHEALTH NET
CJ6759OtherRR MEDICARE GROUP PROVIDER NUMBER
030000225RI01OtherRIANTHEM
050448699OtherUNITED HEALTHCARE OTHER
201484OtherRIBLUE CHIP
050448699OtherRITRICARE
050448699OtherCTTRICARE
1467574475OtherGROUP NPI FOR DAVID LAWRENCE
480033446OtherRIRR MEDICARE
708699OtherRICONNECTICARE
P795857OtherRIOXFORD
489007028OtherRIBLUE CROSS OF RI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040427001189 RI Practitioner - Podiatry 9739176223 Reassigns benefits to 1 organization
Practice locations: Westerly, RI
I20110324000845 CT Practitioner - Podiatry 9739176223 Reassigns benefits to 1 organization
Practice locations: East Lyme, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Coastline Foot and Ankle Specialists LLC 4 clinicians
Ptsma Inc 173 clinicians

Practice addresses (Care Compare)

131 Boston Post Rd
East Lyme, CT 06333-1605
Phone (860) 739-1944

37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

85 Beach St
BLDG C
Westerly, RI 02891-2717
Phone (401) 596-0832

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue614
Removal or shaving of skin growth445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000428CTMDMental Health Counselor
00428RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Foot and Ankle Specialists LLC Podiatrist CurrentSince Jul 3, 2023 Accepting new patients

Locations

131 Boston Post Rd
#418
East Lyme, CT 06333
Phone (401) 596-0823

131 Boston Post Rd
East Lyme, CT 06333
Phone (860) 691-1044

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

85 Beach St
#C
Westerly, RI 02891
Phone (401) 596-0823

Organizations & group practices 12

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216512000000",
    "number": "1891729976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BEACH STREET",
            "address_2": "BLDG C",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0823",
            "fax_number": "401-596-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BEACH STREET",
            "address_2": "BLDG C",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0823",
            "fax_number": "401-596-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM00225",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF CT",
            "identifier": "030000428CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "030881",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "030881",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700176",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "480033446",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "480033446",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "708699",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "030881",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "CJ6759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "030000225RI01",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OTHER",
            "identifier": "050448699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "201484",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "050448699",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "050448699",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR DAVID LAWRENCE",
            "identifier": "1467574475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480033446",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "708699",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P795857",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "489007028",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.