Organization Active NPI

Cubic Care Incorporated

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1003171927
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5909 Issued in TX
Legal business name
CUBIC CARE INCORPORATED
Practice address
905 N Jupiter Rd
Ste 160
Richardson, TX 75081-7712
Phone
(972) 754-6417
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Thien-an NguyenNPI 1669663654
Title
President
Phone
(972) 754-6417

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N5909 TX Primary

Addresses

Primary practice location

905 N Jupiter Rd
Ste 160
Richardson, TX 75081-7712

Mailing address

905 N Jupiter Rd
Ste 160
Richardson, TX 75081-7712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000279 TX Part B Supplier - Clinic/Group Practice 1052568722 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, 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
45D2051192Cubic Care Family Medicine905 N Jupiter Road, Suite 160, Richardson, TX 75081Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory

Locations

905 N Jupiter Rd
Ste 160
Richardson, TX 75081
Phone (972) 479-9960

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.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1003171927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N JUPITER RD",
            "address_2": "STE 160",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N JUPITER RD",
            "address_2": "STE 160",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817712",
            "telephone_number": "972-754-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUBIC CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THIEN-AN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-754-6417"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.