NPIMap

Organization Active NPI

Dynamic Rpa Healthcare PC

  • General Practice Physician
  • Fort Worth, TX
National Provider Identifier
1295968758
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D6175 Issued in TX
Legal business name
DYNAMIC RPA HEALTHCARE PC
Practice address
6901 McCart Ave
200
Fort Worth, TX 76133-6377
Phone
(817) 294-9600
Fax
(817) 294-9611
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mr. Christopher A Ineama, PANPI 1063601300
Title
Provider
Phone
(817) 294-9600

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X D6175 TX
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X D6175 TX
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X D6175 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA05609 TX
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA05609 TX

Addresses

Primary practice location

6901 McCart Ave
200
Fort Worth, TX 76133-6377

Mailing address

6901 McCart Ave
200
Fort Worth, TX 76133-6377
Phone (817) 294-9600

Other identifiers 2

IdentifierTypeStateIssuer
PA05609OtherTXPA LICENSE
1063601300OtherTXNPI

Other names 1

  • DYNAMIC RPA PRACTICE Doing business as

National Provider Directory

National Provider Directory

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": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1295968758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MCCART AVE",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336377",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MCCART AVE",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336377",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RPA HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "INEAMA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "817-294-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "D6175",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "D6175",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "D6175",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05609",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA05609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063601300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC RPA PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

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