Active NPI
Kingbird Emergency Physicians LLC
- Emergency Medicine Physician
- Dunlap, TN
National Provider Identifier
1063822757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- KINGBIRD EMERGENCY PHYSICIANS LLC
- Practice address
- 16931 Rankin Ave
Dunlap, TN 37327-7029 - Phone
- (423) 959-5688
- NPI assigned
- May 2, 2014
- Last updated
- May 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross Ronan
- Title
- President
- Phone
- (469) 401-2386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
16931 Rankin Ave
Dunlap, TN 37327-7029
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1063822757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386",
"fax_number": "214-712-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16931 RANKIN AVE",
"city": "DUNLAP",
"state": "TN",
"postal_code": "373277029",
"telephone_number": "423-959-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGBIRD EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "RONAN",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunlap, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.