Organization Active NPI

David Zahaluk MD PLLC

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1053562264
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9851 Issued in TX
Legal business name
DAVID ZAHALUK MD PLLC
Practice address
571 W Main St
Suite 120
Lewisville, TX 75057-3628
Phone
(972) 221-3500
Fax
(972) 221-3522
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. David William Zahaluk, MD
Title
Managing Member
Phone
(214) 542-1271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J9851 TX Primary

Addresses

Primary practice location

571 W Main St
Suite 120
Lewisville, TX 75057-3628

Mailing address

571 W Main St
Suite 120
Lewisville, TX 75057-3628
Phone (972) 221-3500

Other names 1

  • Main Street Medical Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1053562264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST",
            "address_2": "SUITE 120",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "972-221-3500",
            "fax_number": "972-221-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST",
            "address_2": "SUITE 120",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "972-221-3500",
            "fax_number": "972-221-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ZAHALUK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "ZAHALUK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-542-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.