Active NPI
Camesha Dandie
- Geriatric Medicine (Family Medicine) Physician
- Richardson, TX
National Provider Identifier
1306555347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 1065795
- Practice address
- 1301 W President George Bush Hwy Ste 200
Richardson, TX 75080-1137 - Phone
- (800) 328-5979
- NPI assigned
- Nov 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 1065795 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 1065795 | TX | Primary |
Addresses
Primary practice location
1301 W President George Bush Hwy Ste 200
Richardson, TX 75080-1137
Mailing address
3133 Morgan Meadow LN
Pearland, TX 77584-3281
Phone (201) 535-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065795 | TX | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1306555347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 MORGAN MEADOW LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843281",
"telephone_number": "201-535-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W PRESIDENT GEORGE BUSH HWY STE 200",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801137",
"telephone_number": "800-328-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDIE",
"first_name": "CAMESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "1065795",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "1065795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.