Active NPI
Jeffry Andresen, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1245603356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H9734
- Practice address
- 503 Monte Vista Dr
Dallas, TX 75223-1239 - Phone
- (214) 320-2548
- NPI assigned
- Nov 11, 2015
- Last updated
- Nov 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H9734 | TX | Primary |
Addresses
Primary practice location
503 Monte Vista Dr
Dallas, TX 75223-1239
Mailing address
503 Monte Vista Dr
Dallas, TX 75223-1239
Phone (214) 320-2548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9734 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1245603356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 MONTE VISTA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752231239",
"telephone_number": "214-320-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MONTE VISTA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752231239",
"telephone_number": "214-320-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRESEN",
"first_name": "JEFFRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H9734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Andre Graham MD PLLC (Graham Bariatrics and Surgery)
- Johnson Graham Andre
- Andrea Hester, PHD, PLLC
- Joyce Feghali Andrea, PA
- Michael T. Andrepont-Aycock, CRNA, PMHNP-C
- Andrew B Burke DO Associated (Andrew B. Burke, D.O., P.A.)
- Andrew B. Freeman, M.D., P.a.
- Andrew Cha Detistry
- Andrew Chung MD PLLC
- Andrew Garrett, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.