Organization Active NPI

Columbia Hospital at Medical City Dallas Subsidiary LP

Doing business as Medical City Dallas

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1073979001
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP
Doing business as
Medical City Dallas
Practice address
7777 Forest LN
Dallas, TX 75230-2571
Phone
(972) 566-7000
Fax
(972) 566-6248
NPI assigned
Jan 6, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Susan Shreeve
Title
Cfo
Phone
(972) 566-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

7777 Forest LN
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

Other names 1

  • Medical City Dallas Doing business as

National Provider Directory

National Provider Directory
Part of
Colunbia Hosp Med City DLLS

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1073979001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7000",
            "fax_number": "972-566-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7000",
            "fax_number": "972-566-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "SHREEVE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-566-6225"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical City Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 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.