Active NPI
Mark J Cwikla, M.D.
- Specialist
- Irving, TX
National Provider Identifier
1255384392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F3878
- Practice address
- 7301 State Highway 161
Ste 160
Irving, TX 75039-2816 - Phone
- (972) 259-4768
- Fax
- (972) 254-9640
- NPI assigned
- May 18, 2006
- Last updated
- Aug 25, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | F3878 | TX | Primary |
Addresses
Primary practice location
7301 State Highway 161
Ste 160
Irving, TX 75039-2816
Mailing address
7301 State Highway 161
Ste 160
Irving, TX 75039-2816
Phone (972) 259-4768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114457802 | Medicaid | TX |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Cwikla MD PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Lewisville, TX
- NPI 1134435381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1255384392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 STATE HIGHWAY 161",
"address_2": "STE 160",
"city": "IRVING",
"state": "TX",
"postal_code": "750392816",
"telephone_number": "972-259-4768",
"fax_number": "972-254-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 STATE HIGHWAY 161",
"address_2": "STE 160",
"city": "IRVING",
"state": "TX",
"postal_code": "750392816",
"telephone_number": "972-259-4768",
"fax_number": "972-254-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CWIKLA",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F3878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114457802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.