John a. Demopulos, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H8543 Issued in TX

Legal business name

JOHN A. DEMOPULOS, M.D., P.A.

Practice address

7777 Forest LN Ste B216
Dallas, TX 75230-6810

Phone

(972) 566-8380

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

John A Demopulos, M.D,

Title

Owner

Phone

(972) 566-8380

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1003077561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306810",
            "telephone_number": "972-566-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306810",
            "telephone_number": "972-566-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. DEMOPULOS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "DEMOPULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-566-8380",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233587-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00J11E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Johannesson, M.D PHD
• Brittany M Johansen, PHARMD
• Christine Fay Johansen
• Nicholas Robert Johansen
• Heidi Johanson, LPC
• John a. Grinaldi, DDS, PA
• John Alexander, M.D., P.a.
• John B Barnett, MD, Surgical PA.
• John Bugarin, Jr, DC & Sylvia Blanchard DC PA
• John C Tunnell DDS Ms PLLC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.