Active NPI
Lakewood Emergency Room
- Emergency Care Clinic/Center
- Dallas, TX
National Provider Identifier
1326580960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Butler
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1962491035
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
- Lakeview Health Solutions, PLLC
- Lakeview Primary Homecare LLC
- Lakewood Anesthesia, PLLC
- Lakewood Dental Studio PLLC
- Lakewood Dermatology, PLLC
- Lakewood Imaging Associates, LLC
- Lakewood Integrative Health & Wellness, PLLC
- Lakewood Iom
- Lakewood Orthopaedics & Sports Medicine, PA
- Lakewood Orthopedics and Sports Medicine
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.