Organization Active NPI

CHCC Inc

  • Specialist
  • Dallas, TX
National Provider Identifier
1093832842
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
137275704MedicaidTX
112124602MedicaidTX
133430202MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
CHCC Inc2 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.

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

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.

Verify at the official NPI Registry.