Active NPI
Fagadau & Hawk, M.D LLP
- Ophthalmology Physician
- Dallas, TX
National Provider Identifier
1003940388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FAGADAU & HAWK, M.D LLP
- Practice address
- 6131 Luther LN Ste 216
Dallas, TX 75225 - Phone
- (214) 987-2020
- Fax
- (214) 739-3725
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen A Davis
- Title
- Office Administrator
- Phone
- (214) 987-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TX | Primary |
Addresses
Primary practice location
6131 Luther LN Ste 216
Dallas, TX 75225
Mailing address
6131 Luther LN Ste 216
Dallas, TX 75225
Phone (214) 987-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1145005-03 | Medicaid | TX | |
| 1104887-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5744 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone 8175168811101
6131 Luther Ln
Ste 216
Dallas, TX 75225
Phone (214) 987-2020
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1720423577
-
- Optometrist
- Dallas, TX
- NPI 1811184427
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1497752737
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1184884017
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1942372339
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1619402260
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1104823442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1003940388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6131 LUTHER LN STE 216",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-987-2020",
"fax_number": "214-739-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6131 LUTHER LN STE 216",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-987-2020",
"fax_number": "214-739-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAGADAU & HAWK, M.D LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "214-987-2020",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1145005-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104887-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.