Active NPI
Christine Loo, MD
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1295711810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4539
- Practice address
- 3310 Live Oak St
Copc Administration
Dallas, TX 75204-6153 - Phone
- (214) 266-1247
- Fax
- (214) 266-1246
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L4539 | TX | Primary |
Addresses
Primary practice location
3310 Live Oak St
Copc Administration
Dallas, TX 75204-6153
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 23
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155632614 | Medicaid | TX | |
| 155632622 | Medicaid | TX | |
| 155632621 | Medicaid | TX | |
| 155632605 | Medicaid | TX | |
| 155632607 | Medicaid | TX | |
| 155632615 | Medicaid | TX | |
| 155632624 | Medicaid | TX | |
| 155632602 | Medicaid | TX | |
| 155632610 | Medicaid | TX | |
| 155632616 | Medicaid | TX | |
| 155632625 | Medicaid | TX | |
| 155632609 | Medicaid | TX | |
| 155632619 | Medicaid | TX | |
| 155632604 | Medicaid | TX | |
| 155632620 | Medicaid | TX | |
| 155632606 | Medicaid | TX | |
| 155632608 | Medicaid | TX | |
| 155632612 | Medicaid | TX | |
| 155632617 | Medicaid | TX | |
| 155632623 | Medicaid | TX | |
| 155632618 | Medicaid | TX | |
| 155632626 | Medicaid | TX | |
| 8W8851 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Pediatrics | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
5151 Maple Ave
#4A
Dallas, TX 75235
Phone (214) 590-2800
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- cloo652@direct.phhs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Physician and Other Providers
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
Pediatrics
-
dba CV Roman Women's Health Center
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
dba Nurse Practitioner and Other Providers
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1295711810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 LIVE OAK ST",
"address_2": "COPC ADMINISTRATION",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046153",
"telephone_number": "214-266-1247",
"fax_number": "214-266-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOO",
"first_name": "CHRISTINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L4539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632614",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632622",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632621",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632605",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632607",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632615",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632624",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632602",
"state": "TX"
},
{
"code": "05",
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"issuer": null,
"identifier": "155632610",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632616",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632625",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632609",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632619",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632620",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632608",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632612",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632617",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632623",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632618",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155632626",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8W8851",
"state": "TX"
}
],
"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 Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.