Frontline Whiterock Medical Center LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

P3089 Issued in TX

Legal business name

FRONTLINE WHITEROCK MEDICAL CENTER LLC

Practice address

7331 Gaston Ave
Suite 180
Dallas, TX 75214-4131

Phone

(281) 961-3217

NPI assigned

May 4, 2016

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethan T Tran

Title

Owner

Phone

(281) 961-3217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295180651. Details of each certification follow.

• CCN 670253 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670253

Legal name

FRONTLINE WHITEROCK MEDICAL CENTER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 7, 2020

Last certification

May 7, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

7331 Gaston Ave, Suite 180
Dallas, TX 75214

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.

• Mario Quintanilla, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Houston, TX
  • NPI 1093732620
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1295180651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 FM 1464 RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774079542",
            "telephone_number": "281-766-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 GASTON AVE",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144131",
            "telephone_number": "281-961-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE WHITEROCK MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-961-3217"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "P3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Fronberry, RDN, LD
• Megan Frone, M.S., CGC
• Rebecca A. Frontera, PSY.D.
• Frontier Direct Care - Dallas
• Frontline Anesthesia PLLC
• Ariel Frost, MD
• Jillian Leigh Frost, PNP
• Mackenzie Susan Frost, MD
• Samantha Frost, PT, DPT
• Steve M Frost, M.D.

• Emergency Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.