Individual provider Active NPI

Christine Loo, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1295711810
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4539 Issued in TX
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

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
155632614MedicaidTX
155632622MedicaidTX
155632621MedicaidTX
155632605MedicaidTX
155632607MedicaidTX
155632615MedicaidTX
155632624MedicaidTX
155632602MedicaidTX
155632610MedicaidTX
155632616MedicaidTX
155632625MedicaidTX
155632609MedicaidTX
155632619MedicaidTX
155632604MedicaidTX
155632620MedicaidTX
155632606MedicaidTX
155632608MedicaidTX
155632612MedicaidTX
155632617MedicaidTX
155632623MedicaidTX
155632618MedicaidTX
155632626MedicaidTX
8W8851OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000626 TX Practitioner - Pediatric Medicine 8729261706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Pediatrics CurrentSince Nov 21, 2010 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Dallas County Hospital District CurrentSince Nov 21, 2010 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

  • Direct secure messaging: 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.

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
        }
    ],
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        },
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.