Organization Active NPI

Emergency Care of Lakewood, LLC

  • Emergency Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1053713339
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
EMERGENCY CARE OF LAKEWOOD, LLC
Practice address
1926 Skillman St
Dallas, TX 75206-7954
Phone
(469) 202-8646
NPI assigned
Sep 18, 2014
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Kashif H Ansari, M.D
Title
Owner/Ceo
Phone
(469) 202-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

1926 Skillman St
Dallas, TX 75206-7954

Mailing address

1926 Skillman St
Dallas, TX 75206-7954
Phone (469) 202-8646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1053713339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067954",
            "telephone_number": "469-202-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067954",
            "telephone_number": "469-202-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY CARE OF LAKEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "469-202-8646",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "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 Nov 9, 2016; 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.