Organization Active NPI

Uptown ER, LLC

  • Emergency Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1255864716
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
UPTOWN ER, LLC
Practice address
3607 Oak Lawn Ave
Ste 100
Dallas, TX 75219-4743
Phone
(214) 217-1818
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Ryan Cradeur
Title
Managing Partner
Phone
(512) 392-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

3607 Oak Lawn Ave
Ste 100
Dallas, TX 75219-4743

Mailing address

3607 Oak Lawn Ave
Ste 100
Dallas, TX 75219-4743
Phone (214) 217-1818

National Provider Directory

National Provider Directory

Locations

3607 Oak Lawn Ave
Ste 100
Dallas, TX 75219
Phone (214) 217-1818

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1255864716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OAK LAWN AVE",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194743",
            "telephone_number": "214-217-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 OAK LAWN AVE",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194743",
            "telephone_number": "214-217-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN ER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "CRADEUR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "512-392-7800"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "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 Apr 11, 2017; 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.