Individual provider Active NPI

Howard Alan Lagrone, MD, PHD

  • Psychiatry Physician
  • Grapevine, TX
National Provider Identifier
1225249998
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G3538 Issued in TX
Practice address
601 S Main St
Suite 209
Grapevine, TX 76051-5382
Phone
(817) 410-4722
Fax
(817) 410-4723
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G3538 TX Primary

Addresses

Primary practice location

601 S Main St
Suite 209
Grapevine, TX 76051-5382

Mailing address

601 S Main St
Suite 209
Grapevine, TX 76051-5382
Phone (817) 410-4722

Other identifiers 2

IdentifierTypeStateIssuer
122359606MedicaidTX
8X5115OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 13, 2018 through Dec 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1225249998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515382",
            "telephone_number": "817-410-4722",
            "fax_number": "817-410-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515382",
            "telephone_number": "817-410-4722",
            "fax_number": "817-410-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRONE",
        "first_name": "HOWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G3538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122359606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X5115",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.