Davoodi Family Medicine PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H2930 Issued in TX

Legal business name

DAVOODI FAMILY MEDICINE PA

Practice address

3051 Churchill Dr
Suite # 100
Flower Mound, TX 75022-2713

Phone

(972) 410-3682

Fax

(972) 410-3683

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Fariborz Alan Davoodi, M.D.NPI 1811924343

Title

Physician

Phone

(972) 410-3682

Specialties & licenses 2

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

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/69286
• Direct secure messaging: fariborzdavoodi@dvdfm.allscriptsdirect.net

Practitioners 1

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

• Fariborz A Davoodi, MD

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1811924343

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1174891899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR",
            "address_2": "SUITE # 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222713",
            "telephone_number": "972-410-3682",
            "fax_number": "972-410-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR",
            "address_2": "SUITE # 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222713",
            "telephone_number": "972-410-3682",
            "fax_number": "972-410-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVOODI FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DAVOODI",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-410-3682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "H2930",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": "H2930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Date Healthcare Services LLC
• Jacqueline Leticia Davis-Herr, MD
• Allison Davis, MS., CCC-SLP
• Karen Monica Davis, MPT ATC
• Kevin Davis
• Michael D Dawson, LPC
• Susan Elaine Dawson
• Dazzle Dental Care, PA
• DBM Healthcare PLLC
• DDD Ventures, Inc.

• Primary Care Clinic/Center in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.