Individual provider Active NPI

Kevin K Lanphear, D.O.

  • Family Medicine Physician
  • Newburyport, MA
National Provider Identifier
1992872626
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55947 Issued in MA
Practice address
3 Cherry St
Newburyport, MA 01950-3973
Phone
(978) 465-7322
NPI assigned
Nov 29, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55947 MA Primary

Addresses

Primary practice location

3 Cherry St
Newburyport, MA 01950-3973

Mailing address

3 Cherry St
Newburyport, MA 01950-3973
Phone (978) 465-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000466 MA Practitioner - Family Practice 3072582717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
55947MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Family Practice,P.C. Family Medicine CurrentSince Jul 1, 1986 Accepting new patients

Locations

3 Cherry St
Newburyport, MA 01950
Phone (978) 465-3400

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1992872626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHERRY ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503973",
            "telephone_number": "978-465-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHERRY ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503973",
            "telephone_number": "978-465-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANPHEAR",
        "first_name": "KEVIN",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "55947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.