Organization Active NPI

Marie Dibra MD PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Frisco, TX
National Provider Identifier
1215543632
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
MARIE DIBRA MD PLLC
Practice address
3800 Gaylord Pkwy # 1190
Frisco, TX 75034-9416
Phone
(844) 409-4657
Fax
(214) 614-4277
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Marie Dibra, MD
Title
Owner
Phone
(844) 409-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

3800 Gaylord Pkwy # 1190
Frisco, TX 75034-9416

Mailing address

3800 Gaylord Pkwy # 1190
Frisco, TX 75034-9416
Phone (844) 409-4657

Other practice location 1

261 N Randall Rd
Lake IN The Hills, IL 60156-5999
Phone (847) 558-2224

Other practice location 2

290 E John Carpenter Fwy Ste 2700
Irving, TX 75062-2881
Phone (844) 409-4657

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1215543632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY # 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349416",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY # 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349416",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 N Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Lake IN The Hills",
            "state": "IL",
            "postal_code": "601565999",
            "country_code": "US",
            "telephone_number": "847-558-2224",
            "fax_number": "972-755-6626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 E John Carpenter Fwy Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750622881",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIE DIBRA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "DIBRA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-409-4657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

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