Organization Active NPI

Medtopia Medical, PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1043781602
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDTOPIA MEDICAL, PLLC
Practice address
8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone
(214) 497-7148
NPI assigned
Dec 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Valerie D Estrada
Title
Credentialing Coordinator
Phone
(972) 419-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469

Mailing address

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone (214) 497-7148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214001907 TX Part B Supplier - Clinic/Group Practice 0143568295 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

5446 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 200-3256

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1043781602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-497-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-497-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOPIA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "972-419-0049"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2018; 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.

Verify at the official NPI Registry.