A-Care Medical, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K9291 Issued in TX

Legal business name

A-CARE MEDICAL, P.A.

Practice address

870 N Coit Rd
Suite 2660
Richardson, TX 75080-5420

Phone

(972) 235-2459

Fax

(972) 235-9435

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By 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

Dr. Vladimir A Grebennikov, M.D.NPI 1952399313

Title

Physician

Phone

(972) 235-2459

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vladimir Alexandrovich Grebennikov, M.D.

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1952399313
  Authorized official Same address or phone

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1053580902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N COIT RD",
            "address_2": "SUITE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805420",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N COIT RD",
            "address_2": "SUITE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805420",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-CARE MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "GREBENNIKOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-235-2459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K9291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Richardson, TX
• Providers in Richardson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.