Organization Active NPI

White Rock Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1083350698
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WHITE ROCK EMERGENCY PHYSICIANS, PLLC
Practice address
9440 Poppy Dr
Dallas, TX 75218-3652
Phone
(214) 324-6100
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Misty Butzke
Title
Authorized Official
Phone
(214) 729-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

9440 Poppy Dr
Dallas, TX 75218-3652

Mailing address

9440 Poppy Dr
Dallas, TX 75218-3652

National Provider Directory

National Provider Directory

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

Practitioners & affiliated clinicians

Practitioners 1

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1083350698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 POPPY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 POPPY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183652",
            "telephone_number": "214-324-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROCK EMERGENCY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BUTZKE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-729-1059"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "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 Mar 14, 2023; 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.