Individual provider Active NPI

Dana Rubin-Remer, MD

  • Pediatric Adolescent Medicine Physician
  • Dallas, TX
National Provider Identifier
1174632053
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
J5003 Issued in TX
Practice address
16980 Dallas Parkway
Suite 204
Dallas, TX 75248
Phone
(972) 733-6565
Fax
(972) 733-6564
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X J5003 TX Primary

Addresses

Primary practice location

16980 Dallas Parkway
Suite 204
Dallas, TX 75248

Mailing address

16980 Dallas Parkway
Suite 204
Dallas, TX 75248
Phone (972) 733-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5003TXMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HABBAA/Endpoint/HABBAA

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1174632053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PARKWAY",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-733-6565",
            "fax_number": "972-733-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PARKWAY",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-733-6565",
            "fax_number": "972-733-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN-REMER",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J5003",
            "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 Feb 5, 2013; 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.