Active NPI
David W Reagan
- Ophthalmology Physician
- Waxahachie, TX
National Provider Identifier
1083835813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H1191
- Legal business name
- DAVID W REAGAN
- Practice address
- 101 YMCA Dr
Waxahachie, TX 75165-5124 - Phone
- (972) 938-7909
- Fax
- (972) 938-2966
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lauren Standerfer
- Title
- Office Manager
- Phone
- (972) 938-7909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H1191 | TX | Primary |
Addresses
Primary practice location
101 YMCA Dr
Waxahachie, TX 75165-5124
Mailing address
101 YMCA Dr
Waxahachie, TX 75165-5124
Phone (972) 938-7909
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131197908 | Medicaid | TX | |
| 180183902 | Medicaid | TX | |
| 131197907 | Medicaid | TX | |
| 180183901 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- David W Reagan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmologic Surgery Clinic/Center
- Waxahachie, TX
- NPI 1659580090
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Eyewear Supplier
- Waxahachie, TX
- NPI 1033398433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Midlothian, TX
- NPI 1124092168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1083835813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 YMCA DR",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655124",
"telephone_number": "972-938-7909",
"fax_number": "972-938-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 YMCA DR",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655124",
"telephone_number": "972-938-7909",
"fax_number": "972-938-2966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W REAGAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "STANDERFER",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "972-938-7909",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "H1191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131197908",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180183902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131197907",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180183901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.