Active NPI
Monique Michelle Antoine, MD
- General Practice Physician
- Dallas, TX
National Provider Identifier
1063935997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 250761
- Practice address
- 4055 Valley View LN Ste 400
Dallas, TX 75244-5071 - Phone
- (469) 466-7168
- NPI assigned
- Jul 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 250761 | NY | Primary |
Addresses
Primary practice location
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Mailing address
810 5TH St NW FL 3
Washington, DC 20001-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250761 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500768000000",
"number": "1063935997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 5TH ST NW FL 3",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200012622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445071",
"telephone_number": "469-466-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOINE",
"first_name": "MONIQUE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2017-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "250761",
"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 Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.