NPIMap

Organization Active NPI

North DFW Urology LLP

Doing business as north dfw imaging

  • Urology Physician
  • Grapevine, TX
National Provider Identifier
1306003017
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NORTH DFW UROLOGY LLP
Doing business as
north dfw imaging
Practice address
1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone
(817) 481-7727
Fax
(817) 329-0077
NPI assigned
May 20, 2008
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Nathan Lynn Graves, M.D.NPI 1184653743
Title
President
Phone
(817) 328-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110

Mailing address

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone (817) 481-7727

Other names 1

  • north dfw imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North DFW Urology LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1601 Lancaster Dr
Ste 170
Grapevine, TX 76051
Phone (817) 481-7727

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1306003017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DFW UROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-328-7727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "north dfw imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.