NPIMap

Organization Active NPI

Elite Primary Care

  • Preferred Provider Organization
  • Dallas, TX
National Provider Identifier
1245571835
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
K4647 Issued in TX
Legal business name
ELITE PRIMARY CARE
Practice address
4305 Pinnacle Point Dr
Dallas, TX 75211-1311
Phone
(972) 720-9943
Fax
(972) 386-7474
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Claudia Castano, MD
Title
Manager
Phone
(972) 720-9943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X K4647 TX Primary

Addresses

Primary practice location

4305 Pinnacle Point Dr
Dallas, TX 75211-1311

Mailing address

PO Box 802834
Dallas, TX 75380-2834
Phone (972) 720-9943

National Provider Directory

National Provider Directory
Tax ID family
Elite Primary Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4305 Pinnacle Point Dr
Dallas, TX 75211
Phone (972) 720-9943

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1245571835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802834",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753802834",
            "telephone_number": "972-720-9943",
            "fax_number": "972-386-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 PINNACLE POINT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111311",
            "telephone_number": "972-720-9943",
            "fax_number": "972-386-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-720-9943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "K4647",
            "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 Mar 7, 2013; 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.