Active NPI
David Porteus Fearis III, M.D.
- Family Medicine Physician
- Waco, TX
National Provider Identifier
1891803128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D3014
- Practice address
- 7736 Central Park Dr
Waco, TX 76712-6500 - Phone
- (254) 772-2373
- NPI assigned
- Aug 28, 2006
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D3014 | TX | Primary |
Addresses
Primary practice location
7736 Central Park Dr
Waco, TX 76712-6500
Mailing address
PO Box 23363
Waco, TX 76702-3363
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3014 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Imaging, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1891803128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23363",
"city": "WACO",
"state": "TX",
"postal_code": "767023363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7736 CENTRAL PARK DR",
"city": "WACO",
"state": "TX",
"postal_code": "767126500",
"telephone_number": "254-772-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARIS",
"first_name": "DAVID",
"middle_name": "PORTEUS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D3014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Phillip D Farmer Jr., R.PH.
- Farnsworth Chiropractic Center
- Steve L. Farnsworth
- Brett Middleton Farnum, LMSW
- Cortnney Danielle Faulkner, LSW
- Federal Comp and Wellness Waco, PLLC (Federal Comp and Wellness)
- Lynnsey Federwisch
- Andrew Joseph Fehler, PA-C
- Feil Good Industries PLLC (Epic Therapy & Wellness)
- F Scott Feil, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.