Organization Active NPI

University of Dallas

Doing business as Student Health Services Univ of Dallas

  • Student Health Clinic/Center
  • Irving, TX
National Provider Identifier
1255615258
Registry record updated Oct 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF DALLAS
Doing business as
Student Health Services Univ of Dallas
Practice address
1845 E Northgate Dr
Haggar BLDG 2ND Floor
Irving, TX 75062-4736
Phone
(972) 721-5322
NPI assigned
Oct 9, 2011
Last updated
Oct 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2011

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

Authorized official

Name
Dr. Laurette K Deket, MD
Title
Medical Director
Phone
(972) 721-5322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1845 E Northgate Dr
Haggar BLDG 2ND Floor
Irving, TX 75062-4736

Mailing address

1845 E Northgate Dr
Haggar BLDG 2ND Floor
Irving, TX 75062-4736

Other names 1

  • Student Health Services Univ of Dallas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Student Health Services Univ of Dallas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1845 E Northgate Dr
Irving, TX 75062
Phone (972) 721-5010

1845 E Northgate Dr
Bldg 2ND
Irving, TX 75062
Phone (972) 721-5322

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318118400000",
    "number": "1255615258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "address_2": "HAGGAR BLDG 2ND FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "address_2": "HAGGAR BLDG 2ND FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736",
            "telephone_number": "972-721-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-09",
        "last_updated": "2011-10-09",
        "status": "A",
        "authorized_official_last_name": "DEKET",
        "authorized_official_first_name": "LAURETTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-721-5322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Services Univ of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2011; 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.