Active NPI
CHCC Inc
- Specialist
- Dallas, TX
National Provider Identifier
1093832842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CHCC INC
- Practice address
- 1151 N. Buckner Blvd
PB1 Suite 203
Dallas, TX 75218 - Phone
- (214) 324-4221
- Fax
- (972) 686-6391
- NPI assigned
- Mar 26, 2007
- Last updated
- Jun 6, 2011
- 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
- Dr. Aaron L. Kreisler, M.D.
- Title
- President
- Phone
- (214) 324-4221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
1151 N. Buckner Blvd
PB1 Suite 203
Dallas, TX 75218
Mailing address
1151 N. Buckner Blvd
PB1 Suite 203
Dallas, TX 75218
Phone (214) 324-4221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137275704 | Medicaid | TX | |
| 112124602 | Medicaid | TX | |
| 133430202 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- CHCC Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neonatal-Perinatal Medicine Physician
- Dallas, TX
- NPI 1851476006
Locations
1151 N Buckner Blvd
Ste 203
Dallas, TX 75218
Phone (214) 324-4221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1093832842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N. BUCKNER BLVD",
"address_2": "PB1 SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "75218",
"telephone_number": "214-324-4221",
"fax_number": "972-686-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N. BUCKNER BLVD",
"address_2": "PB1 SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "75218",
"telephone_number": "214-324-4221",
"fax_number": "972-686-6391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHCC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "KREISLER",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-324-4221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137275704",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112124602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133430202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Jessica Chavolla, LPC
- Rakhee Chawla, DDS
- CHB Pharmacy
- CHC Care Specialty Pharmacy and Consultants LLC (chc pharmacy)
- CHC Services, Inc. (COREhealth Wellness Center)
- CHCC Inc.
- Willybroad Che, NURSE PRACTITIONER
- Theiry Chea, PHARMD
- Randi J. Cheatham-Johnson, PHD
- Cheatham-Moffett Karingbridge Konnection
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.