NPIMap

Organization Active NPI

D Medical

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1134445190
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
D MEDICAL
Practice address
4431 W Walnut St
Garland, TX 75042-4107
Phone
(972) 272-1880
Fax
(972) 276-1886
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Valencia Johnson
Title
Asst Office Administrator
Phone
(972) 701-0199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

4431 W Walnut St
Garland, TX 75042-4107

Mailing address

12200 Park Central Dr Ste 100
Dallas, TX 75251-2124
Phone (972) 701-0199

National Provider Directory

National Provider Directory

Locations

4431 W Walnut St
Garland, TX 75042
Phone (972) 272-1880

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1134445190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512124",
            "telephone_number": "972-701-0199",
            "fax_number": "972-701-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424107",
            "telephone_number": "972-272-1880",
            "fax_number": "972-276-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "ASST OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-701-0199"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.