Organization Active NPI

B Rai Mehta, MD PA

Doing business as South Arlington Dialysis Center

  • Specialist
  • Arlington, TX
National Provider Identifier
1194733626
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
452592 Issued in TX
Legal business name
B RAI MEHTA, MD PA
Doing business as
South Arlington Dialysis Center
Practice address
3295 S Cooper St
137
Arlington, TX 76015-2363
Phone
(817) 417-0973
Fax
(817) 417-7266
NPI assigned
Aug 3, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mrs. Shelly Ann Irving
Title
Billing Manager
Phone
(817) 417-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 452592 TX Primary

Addresses

Primary practice location

3295 S Cooper St
137
Arlington, TX 76015-2363

Mailing address

3295 S Cooper St
137
Arlington, TX 76015-2363
Phone (817) 417-0973

Other identifiers 3

IdentifierTypeStateIssuer
094268201MedicaidTX
HH6225OtherTXBLUEE CROSS BLUE SHIELD
094268202MedicaidTX

Other names 1

  • South Arlington Dialysis Center Doing business as

National Provider Directory

National Provider Directory

Locations

3295 S Cooper St
#137S
Arlington, TX 76015
Phone (817) 465-8585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1194733626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 S COOPER ST",
            "address_2": "137",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152363",
            "telephone_number": "817-417-0973",
            "fax_number": "817-417-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 S COOPER ST",
            "address_2": "137",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152363",
            "telephone_number": "817-417-0973",
            "fax_number": "817-417-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B RAI MEHTA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-417-0973",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "452592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094268201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEE CROSS BLUE SHIELD",
            "identifier": "HH6225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094268202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Arlington Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.