Organization Active NPI

Dr Crable OB GYN PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1235485079
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N9197 Issued in TX
Legal business name
DR CRABLE OB GYN PA
Practice address
8160 Walnut Hill LN
Suite LL 001
Dallas, TX 75231-4339
Phone
(469) 364-3764
Fax
(469) 364-3764
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Quanita Jamelle Crable, MDNPI 1376735530
Title
Owner
Phone
(469) 364-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X N9197 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN
Suite LL 001
Dallas, TX 75231-4339

Mailing address

8160 Walnut Hill LN
Suite LL 001
Dallas, TX 75231-4339
Phone (469) 364-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120904000754 TX Part B Supplier - Clinic/Group Practice 9335396902 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2054455Dr Crable OB/GYN8160 Walnut Hill Lane Suite 210, Dallas, TX 75231Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9527/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1235485079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE LL 001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "469-364-3764",
            "fax_number": "469-364-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE LL 001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "469-364-3764",
            "fax_number": "469-364-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRABLE OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "CRABLE",
        "authorized_official_first_name": "QUANITA",
        "authorized_official_middle_name": "JAMELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-364-3764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.