NPIMap

Organization Active NPI

Southern Methodist University

Doing business as SMU Athletics

  • Student Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1215289632
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SOUTHERN METHODIST UNIVERSITY
Doing business as
SMU Athletics
Practice address
5800 Ownby Dr
Dallas, TX 75275-0315
Phone
(214) 768-2808
Fax
(214) 768-1225
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Kris Lowe, CPA
Title
Associate a.D./Business & Finance
Phone
(214) 768-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

5800 Ownby Dr
Dallas, TX 75275-0315

Mailing address

5800 Ownby Dr
PO Box 730315
Dallas, TX 75275-0315
Phone (214) 768-2808

Other names 1

  • SMU Athletics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Methodist Univ2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1215289632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OWNBY DR",
            "address_2": "PO BOX 730315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752750315",
            "telephone_number": "214-768-2808",
            "fax_number": "214-768-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OWNBY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752750315",
            "telephone_number": "214-768-2808",
            "fax_number": "214-768-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN METHODIST UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "ASSOCIATE A.D./BUSINESS & FINANCE",
        "authorized_official_telephone_number": "214-768-3585",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMU Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2012; 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.