Organization Active NPI

David W Reagan

  • Ophthalmology Physician
  • Waxahachie, TX
National Provider Identifier
1083835813
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H1191 Issued in TX
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

Updated by the provider on Apr 16, 2018

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
131197908MedicaidTX
180183902MedicaidTX
131197907MedicaidTX
180183901MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
David W Reagan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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": "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.

Verify at the official NPI Registry.