NPIMap

Organization Active NPI

Traveling Doctors, LLC

  • Preferred Provider Organization
  • Dallas, TX
National Provider Identifier
1063955334
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
L1276 Issued in TX
Legal business name
TRAVELING DOCTORS, LLC
Practice address
8508 Sikorski LN
Dallas, TX 75228-5447
Phone
(469) 230-2291
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
David Coria
Title
Owner
Phone
(469) 230-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X L1276 TX Primary

Addresses

Primary practice location

8508 Sikorski LN
Dallas, TX 75228-5447

Mailing address

8508 Sikorski LN
Dallas, TX 75228-5447
Phone (469) 230-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001953 TX Part B Supplier - Clinic/Group Practice 3173804622 Receives reassigned benefits from 7 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1063955334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 SIKORSKI LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285447",
            "telephone_number": "469-230-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 SIKORSKI LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285447",
            "telephone_number": "469-230-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "CORIA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-230-2291"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "L1276",
            "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 Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.