Organization Active NPI

Diamondback Medical Solutions PLLC

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1275383655
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DIAMONDBACK MEDICAL SOLUTIONS PLLC
Practice address
3721 S Stonebridge Dr Unit 1202
McKinney, TX 75070-0236
Phone
(214) 842-8500
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Joseph KlotzNPI 1396064507
Title
Owner
Phone
(214) 842-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3721 S Stonebridge Dr Unit 1202
McKinney, TX 75070-0236

Mailing address

3721 S Stonebridge Dr Unit 1202
McKinney, TX 75070-0236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418003782 TX Part B Supplier - Clinic/Group Practice 8527407881 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

3721 S Stonebridge Dr
Unit 1202
McKinney, TX 75070
Phone (214) 842-8500

3721 S Stonebridge Dr
Unit UT1202
McKinney, TX 75070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1275383655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 S STONEBRIDGE DR UNIT 1202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S STONEBRIDGE DR UNIT 1202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700236",
            "telephone_number": "214-842-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDBACK MEDICAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "KLOTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-842-8500"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.