Organization Active NPI

North DFW Urology LLP

  • Urology Physician
  • Grapevine, TX
National Provider Identifier
1265462691
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NORTH DFW UROLOGY LLP
Practice address
1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone
(817) 481-7727
Fax
(817) 329-0077
NPI assigned
Jul 3, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Joni Hutchison
Title
Authorized Official
Phone
(817) 481-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X TX Primary

Addresses

Primary practice location

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110

Mailing address

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone (817) 481-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000638 TX Part B Supplier - Clinic/Group Practice 5698760304 Receives reassigned benefits from 2 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory
Tax ID family
North DFW Urology LLP2 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.

Interoperability endpoints

  • Direct secure messaging: nathangraves@ndfwuro.medalliesdirect.net
  • Direct secure messaging: stevenash@ndfwuro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1265462691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DFW UROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-481-7727"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.