Active NPI
Samuel C Ngwu, M.D.
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K2087
- Legal business name
- SAMUEL C NGWU, M.D.
- Practice address
- 5959 Harry Hines Blvd
Ste 204
Dallas, TX 75235-6234 - Phone
- (214) 879-8820
- Fax
- (214) 879-6890
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel C Ngwu, M.D.
- Title
- Owner
- Phone
- (214) 879-8820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K2087 | TX | Primary |
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
5959 Harry Hines Blvd
Ste 204
Dallas, TX 75235-6234
Mailing address
5959 Harry Hines Blvd
Ste 204
Dallas, TX 75235-6234
Phone (214) 879-8820
National Provider Directory
National Provider DirectoryLocations
5959 Harry Hines Blvd
Ste 204
Dallas, TX 75235
Phone (214) 879-8820
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1528144706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376524800000",
"number": "1255764049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 HARRY HINES BLVD",
"address_2": "STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356234",
"telephone_number": "214-879-8820",
"fax_number": "214-879-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 HARRY HINES BLVD",
"address_2": "STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356234",
"telephone_number": "214-879-8820",
"fax_number": "214-879-6890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL C NGWU, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A",
"authorized_official_last_name": "NGWU",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-879-8820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K2087",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 15, 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.