Organization Active NPI

Triton Integrated Care PLLC

  • Hospitalist Physician
  • Coppell, TX
National Provider Identifier
1063801017
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
L4906 Issued in TX
Legal business name
TRITON INTEGRATED CARE PLLC
Practice address
450 S Denton Tap Rd
3412
Coppell, TX 75019-7101
Phone
(817) 917-2015
Fax
(214) 481-4179
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Anil I Desai, MD
Title
Manager
Phone
(817) 917-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X L4906 TX Primary

Addresses

Primary practice location

450 S Denton Tap Rd
3412
Coppell, TX 75019-7101

Mailing address

PO Box 3412
Coppell, TX 75019-9412
Phone (817) 917-2015

National Provider Directory

National Provider Directory

Locations

450 S Denton Tap Rd
Unit 3412
Coppell, TX 75019
Phone (817) 917-2015

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1063801017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3412",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199412",
            "telephone_number": "817-917-2015",
            "fax_number": "214-481-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S DENTON TAP RD",
            "address_2": "3412",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197101",
            "telephone_number": "817-917-2015",
            "fax_number": "214-481-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON INTEGRATED CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-917-2015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L4906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.