Active NPI
Courtney P Doran, NP
- Dermatology Physician
- McKinney, TX
National Provider Identifier
1013145549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 641224
- Practice address
- 1790 N Stonebridge Dr
McKinney, TX 75071-7437 - Phone
- (972) 390-9002
- Fax
- (214) 491-3777
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 641224 | TX | Primary |
Addresses
Primary practice location
1790 N Stonebridge Dr
McKinney, TX 75071-7437
Mailing address
1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641224 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1013145549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 N STONEBRIDGE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750717437",
"telephone_number": "972-390-9002",
"fax_number": "214-491-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 N STONEBRIDGE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750717437",
"telephone_number": "972-390-9002",
"fax_number": "214-491-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "COURTNEY",
"middle_name": "P",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "641224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.