Caredrive Healthcare Group

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CAREDRIVE HEALTHCARE GROUP

Practice address

381 Casa Linda PLZ
Suite 123
Dallas, TX 75218-5004

Phone

(214) 275-7979

NPI assigned

Sep 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Carl Jones

Title

Executive Director

Phone

(214) 275-7979

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439596800000",
    "number": "1316270622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CASA LINDA PLZ",
            "address_2": "SUITE 123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "214-275-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CASA LINDA PLZ",
            "address_2": "SUITE 123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "214-275-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREDRIVE HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2015-08-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-275-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.