Organization Active NPI

Deanah a Jibril, DO, PA

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1063881076
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J9718 Issued in TX
Legal business name
DEANAH A JIBRIL, DO, PA
Practice address
4001 W 15TH St
Suite 375
Plano, TX 75093-5841
Phone
(972) 867-4880
Fax
(972) 867-4881
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Deanah A Jibril, DO
Title
Physician/Owner
Phone
(817) 832-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X J9718 TX Primary

Addresses

Primary practice location

4001 W 15TH St
Suite 375
Plano, TX 75093-5841

Mailing address

3212 Saint Georges Dr
Plano, TX 75093-4719
Phone (817) 832-0761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1063881076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SAINT GEORGES DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934719",
            "telephone_number": "817-832-0761",
            "fax_number": "972-608-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "address_2": "SUITE 375",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "972-867-4880",
            "fax_number": "972-867-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANAH A JIBRIL, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "JIBRIL",
        "authorized_official_first_name": "DEANAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-832-0761",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.