Organization Active NPI

Lakewood Emergency Room

  • Emergency Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1326580960
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
LAKEWOOD EMERGENCY ROOM
Practice address
6101 E Mockingbird LN
Dallas, TX 75214-2602
Phone
(469) 372-1122
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Jack ButlerNPI 1962491035
Title
MD
Phone
(469) 436-8100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

6101 E Mockingbird LN
Dallas, TX 75214-2602

Mailing address

101 W Renner Rd Ste 140
Richardson, TX 75082-2028
Phone (469) 436-8100

National Provider Directory

National Provider Directory

Locations

6101 E Mockingbird Ln
Dallas, TX 75214
Phone (214) 443-8131

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1326580960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822028",
            "telephone_number": "469-436-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 E MOCKINGBIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142602",
            "telephone_number": "469-372-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD EMERGENCY ROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "469-436-8100"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.