Organization Active NPI

David S. Tearse M.D., LLC

  • Orthopaedic Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1942409172
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DAVID S. TEARSE M.D., LLC
Practice address
112 14TH St SE
Cedar Rapids, IA 52403-4025
Phone
(319) 366-5633
Fax
(319) 366-2142
NPI assigned
Jul 17, 2007
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Dr. David S. Tearse, M.D.
Title
Owner
Phone
(319) 366-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

112 14TH St SE
Cedar Rapids, IA 52403-4025

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Other identifiers 3

IdentifierTypeStateIssuer
DG2519OtherIARAILROAD MEDICARE
1942409172MedicaidIA
611562900OtherIAOWCP

National Provider Directory

National Provider Directory

Locations

112 14th St SE
Cedar Rapids, IA 52403
Phone (319) 366-5633

825 5th Ave SE
Cedar Rapids, IA 52403
Phone (319) 366-5633

504 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6300

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1942409172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 14TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034025",
            "telephone_number": "319-366-5633",
            "fax_number": "319-366-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. TEARSE M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "TEARSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-366-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2519",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942409172",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "611562900",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.