Organization Active NPI

Midlothian Primary Care Doctors PLLC

  • Adult Medicine Physician
  • Mansfield, TX
National Provider Identifier
1083098214
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MIDLOTHIAN PRIMARY CARE DOCTORS PLLC
Practice address
221 Regency Parkway
Suite 125
Mansfield, TX 76063-0000
Phone
(817) 477-5884
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Pannaben Nangha, M.D.
Title
Owner/Provider
Phone
(871) 477-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

221 Regency Parkway
Suite 125
Mansfield, TX 76063-0000

Mailing address

661 E Main St
Suite #900
Midlothian, TX 76065-3340
Phone (817) 477-5884

National Provider Directory

National Provider Directory

Locations

221 Regency Pkwy
Ste 121
Mansfield, TX 76063
Phone (817) 477-5884

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5563/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1083098214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E MAIN ST",
            "address_2": "SUITE #900",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653340",
            "telephone_number": "817-477-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 REGENCY PARKWAY",
            "address_2": "SUITE 125",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760630000",
            "telephone_number": "817-477-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN PRIMARY CARE DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "NANGHA",
        "authorized_official_first_name": "PANNABEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "871-477-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.