Active NPI
John P Lavery MD PA
- Family Medicine Physician
- Allen, TX
National Provider Identifier
1952530958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H7453
- Legal business name
- JOHN P LAVERY MD PA
- Practice address
- 997 Raintree Cir Ste 120
Allen, TX 75013-4951 - Phone
- (972) 747-0709
- Fax
- (972) 747-7991
- NPI assigned
- Jul 10, 2009
- Last updated
- Jun 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Patrick Lavery, M.D.
- Title
- Director
- Phone
- (972) 747-0709
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H7453 | TX | Primary |
Addresses
Primary practice location
997 Raintree Cir Ste 120
Allen, TX 75013-4951
Mailing address
997 Raintree Cir Ste 120
Allen, TX 75013-4951
Phone (972) 747-0709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- John P Lavery MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Allen, TX
- NPI 1861803801
Interoperability endpoints
- https://api.platform.athenahealth.com/13558/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Allen, TX
- NPI 1740239227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1952530958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 RAINTREE CIR STE 120",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134951",
"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 STE 120",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134951",
"telephone_number": "972-747-0709",
"fax_number": "972-747-7991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN P LAVERY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-10",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "LAVERY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "972-747-0709",
"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": "H7453",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.