North Dallas Digestive Disease

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

M2319 Issued in TX

Legal business name

NORTH DALLAS DIGESTIVE DISEASE

Practice address

3509 Spectrum Blvd
Richardson, TX 75082-9703

Phone

(972) 238-1858

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Xinqing Fan, M.D.NPI 1265636823

Title

Physician

Phone

(214) 929-9290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xinqing Fan, MD

  • Gastroenterology Physician
  • Richardson, TX
  • NPI 1265636823
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Wenjia Chen, MD

  • Gastroenterology Physician
  • Richardson, TX
  • NPI 1578977963
  Medicare reassignment Care Compare group NPD
• Roshan Raza, MD

  • Anatomic Pathology Physician
  • Houston, TX
  • NPI 1225423502

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Tang Yong Kuang, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Allen, TX
  • NPI 1417901224
  NPD (past)
• Congling Wang

  • Family Nurse Practitioner
  • Buda, TX
  • NPI 1760081244
  NPD (past)
• Julie Yoo, APRN, FNP-C

  • Family Nurse Practitioner
  • Richardson, TX
  • NPI 1689357865
  NPD (past)
• Yu Zhao, MD

  • Neurology Physician
  • Plano, TX
  • NPI 1992148977
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1144593294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 BRAEMAR DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934731",
            "telephone_number": "972-781-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 SPECTRUM BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829703",
            "telephone_number": "972-238-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS DIGESTIVE DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "XINQING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-929-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott O'Neal Normile, PT
• Dwayne Mitchum Norris
• North American Custom Laboratories LLC
• North Central Dental Services PLLC
• North Dallas County Homecare LLC
• North Dallas Ear, Nose, and Throat PA
• North Dallas Epilepsy, PLLC
• North Dallas Family Care PA
• North Dallas Imaging Providers, LLC
• North Dallas Physical Therapy Associates PC

• Medical Specialty Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.