Organization Active NPI

Citydoc Urgent Care Center 2, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1003044942
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITYDOC URGENT CARE CENTER 2, PLLC
Practice address
5301 Lovers Lane
Dallas, TX 75209
Phone
(214) 871-7000
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Kyle Delp
Title
Office Manager
Phone
(214) 871-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5301 Lovers Lane
Dallas, TX 75209

Mailing address

5301 Lovers Lane
Dallas, TX 75204
Phone (214) 871-7000

Other names 1

  • Citydoc Urgent Care2 Inwood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000050 TX Part B Supplier - Clinic/Group Practice 9638354103 Receives reassigned benefits from 77 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1103917City Doc Urgent Care Center # 2,PLLC5301 W Lovers Lane, Dallas, TX 75209Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

5301 W Lovers Ln
Dallas, TX 75209
Phone (214) 871-7000

5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1003044942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LOVERS LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LOVERS LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-871-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYDOC URGENT CARE CENTER 2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "DELP",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-871-7000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citydoc Urgent Care2 Inwood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.