CCRM DFW, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CCRM DFW, LLC

Doing business as

CCRM Dallas Fort Worth

Practice address

8380 Warren Pkwy Ste 201
Frisco, TX 75034-4199

Phone

(972) 377-2625

NPI assigned

Feb 26, 2020

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CCRM Dallas Fort Worth Doing business as

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

CLIA laboratory certificates

Tax ID family

CCRM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CCRM DFW, LLC

  dba CCRM Dallas Fort Worth

  • Ambulatory Surgical Clinic/Center
  • Frisco, TX
  • NPI 1437636636
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17469/brand/16/csg/1/fhir/r4

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1023642220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199",
            "telephone_number": "972-377-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM DFW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1095599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRM Dallas Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Cavalier, MD
• Julie Cavitt
• Esther Cayco
• Sarah Cayton, MS,ATC,CES
• Cci of Frisco LLC
• CCRM DFW, LLC (CCRM Dallas Fort Worth)
• CDS at State Care Agency LLC
• Ryan W Cecil, DC
• Cedarleaf Anesthesia LLC (Cedarleaf Anesthesia)
• Celebrity Home Care

• Clinical Medical Laboratory in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.