Organization Active NPI

Cedar Woods Int'L Health Care, Inc.

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1285071035
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CEDAR WOODS INT'L HEALTH CARE, INC.
Practice address
505 Exchange Pkwy Apt 2304
Allen, TX 75002-1752
Phone
(214) 725-9559
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Lita S. Dejesus
Title
Secretary
Phone
(214) 725-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

505 Exchange Pkwy Apt 2304
Allen, TX 75002-1752

Mailing address

505 Exchange Pkwy, #2304
Allen, TX 75002-1752
Phone (214) 725-9559

Other identifiers 1

IdentifierTypeStateIssuer
303363OtherTXPTAN

Other names 1

  • Epiphany Home Visiting Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

1701 N Greenville Ave
Ste 808
Richardson, TX 75081
Phone (469) 453-1423

Practitioners & affiliated clinicians

Practitioners 1

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1285071035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 EXCHANGE PKWY, #2304",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021752",
            "telephone_number": "214-725-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 EXCHANGE PKWY APT 2304",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021752",
            "telephone_number": "214-725-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR WOODS INT'L HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "LITA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "214-725-9559"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "303363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epiphany Home Visiting Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.