1447296843 NPI number — DAVID CARL SAPPINGTON DPM

Table of content: (NPI 1720536097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447296843 NPI number — DAVID CARL SAPPINGTON DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAPPINGTON
Provider First Name:
DAVID
Provider Middle Name:
CARL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447296843
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2524 WASHINGTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WACO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76710-7447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-300-7703
Provider Business Mailing Address Fax Number:
254-300-7709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2524 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76710-7447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-300-7703
Provider Business Practice Location Address Fax Number:
254-300-7709
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  0103300863 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X , with the licence number: 2222 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00E4Z4 . This is a "BCBSTX GROUP RECORD #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8FX246 . This is a "BCBS TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P00061148 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1184078479 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 2217390 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2730684 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3314346 . This is a "AETNA HMO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "TRICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 3647661-04 . This is a "MEDICAID CSHCN - GROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4605650001 . This is a "ADMINISTAR" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245251917 . This is a "GROUP NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3119447 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3647661 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3647661-03 . This is a "MEDICAID GROUP API" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8FX246 . This is a "BCBSTX - PROVIDER RECORD #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00E4Z4 . This is a "BCBS TX RECORD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1184078479 . This is a "SCOTT & WHITE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1447296843 . This is a "SCOTT & WHITE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com