Organization Active NPI

PC Ipa, LLC

  • Medical Specialty Clinic/Center
  • Richardson, TX
National Provider Identifier
1114800133
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PC IPA, LLC
Practice address
2929 N Central Expy, Suite 150
Richardson, TX 75080
Phone
(469) 663-4321
NPI assigned
Jul 28, 2025
Organization subpart
Yes
Parent organization
PATIENT CARE HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Mr. Jake Frost
Title
President
Phone
(469) 663-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2929 N Central Expy, Suite 150
Richardson, TX 75080

Mailing address

2929 N Central Expy, Suite 150
Richardson, TX 75080
Phone (469) 663-4321

Other names 1

  • Patient Care IPA, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Patient Care Health LLC

Locations

2929 N Central Expy
Ste 150
Richardson, TX 75080
Phone (469) 663-4321

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1114800133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY, SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "469-663-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY, SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "469-663-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC IPA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATIENT CARE HEALTH, LLC",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-663-4321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Care IPA, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.