Organization Active NPI

Dadra Hospital Medicine PC

  • Internal Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1184249799
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DADRA HOSPITAL MEDICINE PC
Practice address
3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone
(928) 201-9286
Fax
(928) 219-4610
NPI assigned
Jun 9, 2020
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Mrs. Christine Krall
Title
Office Manager
Phone
(928) 201-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Mailing address

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone (928) 201-9286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1184249799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADRA HOSPITAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "KRALL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-201-9286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.