Individual provider Active NPI

Julia Serber, M.D.

  • Anesthesiology Physician
  • Grapevine, TX
National Provider Identifier
1174785604
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q9031 Issued in TX
Practice address
1900 Enchanted Way
Ste. 100
Grapevine, TX 76051-0965
Phone
(682) 223-5553
Fax
(817) 796-1987
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X Q9031 TX Primary

Addresses

Primary practice location

1900 Enchanted Way
Ste. 100
Grapevine, TX 76051-0965

Mailing address

1900 Enchanted Way
Ste. 100
Grapevine, TX 76051-0965
Phone (682) 223-5553

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1174785604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ENCHANTED WAY",
            "address_2": "STE. 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510965",
            "telephone_number": "682-223-5553",
            "fax_number": "817-796-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ENCHANTED WAY",
            "address_2": "STE. 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510965",
            "telephone_number": "682-223-5553",
            "fax_number": "817-796-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERBER",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.