Organization Active NPI

Dale G Swanholm MD PA

  • Family Medicine Physician
  • Highland Village, TX
National Provider Identifier
1245569037
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E5263 Issued in TX
Legal business name
DALE G SWANHOLM MD PA
Practice address
2300 Highland Village Rd
Ste#600
Highland Village, TX 75077-7148
Phone
(972) 317-0331
Fax
(972) 317-3811
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Dale G Swanholm, M.D.
Title
Owner
Phone
(972) 317-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E5263 TX Primary

Addresses

Primary practice location

2300 Highland Village Rd
Ste#600
Highland Village, TX 75077-7148

Mailing address

2300 Highland Village Rd
Ste#600
Highland Village, TX 75077-7148
Phone (972) 317-0331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1245569037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND VILLAGE RD",
            "address_2": "STE#600",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777148",
            "telephone_number": "972-317-0331",
            "fax_number": "972-317-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND VILLAGE RD",
            "address_2": "STE#600",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777148",
            "telephone_number": "972-317-0331",
            "fax_number": "972-317-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE G SWANHOLM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SWANHOLM",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-317-0331",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E5263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.