NPIMap

Organization Active NPI

Optum Clinic, PA

  • Urgent Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1144636853
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OPTUM CLINIC, PA
Practice address
4900 Belt Line Rd
Suite 150
Dallas, TX 75254-7580
Phone
(877) 456-5506
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Julie Nguyen, MD
Title
Officer
Phone
(281) 387-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4900 Belt Line Rd
Suite 150
Dallas, TX 75254-7580

Mailing address

PO Box 692
Minneapolis, MN 55440-0692

National Provider Directory

National Provider Directory
Tax ID family
Optum Clinic PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4900 Belt Line Rd
Ste 150
Dallas, TX 75254
Phone (877) 456-5506

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1144636853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BELT LINE RD",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547580",
            "telephone_number": "877-456-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-387-0749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2014; 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.