Organization Active NPI

CP Middleton, MD PA

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1124384300
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0978 Issued in TX
Legal business name
CP MIDDLETON, MD PA
Practice address
2110 N Hill Dr
Irving, TX 75038-6219
Phone
(202) 258-5331
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Carl P Middleton, M.D.NPI 1750566048
Title
Ceo/Founder
Phone
(202) 258-5331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N0978 TX Primary

Addresses

Primary practice location

2110 N Hill Dr
Irving, TX 75038-6219

Mailing address

2110 N Hill Dr
Irving, TX 75038-6219
Phone (972) 255-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000264 TX Part B Supplier - Clinic/Group Practice 7719141076 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

2340 E Trinity Mills Rd
Ste 250
Carrollton, TX 75006
Phone (214) 649-4686

5040 North Tarrant Pkwy
Ste 124
Fort Worth, TX 76244
Phone (817) 750-2777

5040 North Tarrant Pkwy
Ste 107
Fort Worth, TX 76244

5407 Basswood Blvd
Ste 107
Ft Worth, TX 76137
Phone (817) 348-0910

6435 S FM 549
Ste 103
Heath, TX 75032
Phone (469) 338-5162

6435 S FM 549
Ste 201A
Heath, TX 75032
Phone (214) 455-2487

Practitioners & affiliated clinicians

Practitioners 4

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": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1124384300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N HILL DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386219",
            "telephone_number": "972-255-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N HILL DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386219",
            "telephone_number": "202-258-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP MIDDLETON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "202-258-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.