Active NPI
Richard Lawrence Wasserman, MD, PHD
- Allergy & Immunology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G4068
- Practice address
- 7777 Forest LN
Suite B-332
Dallas, TX 75230-2571 - Phone
- (972) 566-7788
- Fax
- (972) 566-8837
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G4068 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite B-332
Dallas, TX 75230-2571
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 397487ZM3L | Other | TX | MEDICARE PTAN |
| 1346234614 | Medicaid | TX | |
| 940841 | Other | TX | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4068 | TX | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Allergy Immunology Assoc.,P.a. | Allergy & Immunology | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste B332
Dallas, TX 75230
Phone (972) 566-7788
4500 Hillcrest Rd
Ste 150
Frisco, TX 75035
Phone (469) 535-3844
3140 Legacy Dr
Ste 120
Frisco, TX 75034
Phone (972) 272-4463
760 N Shiloh Rd
Garland, TX 75042
Phone (972) 272-4463
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Allergy and Asthma Associates of North Texas
- Allergy & Immunology Physician
- Frisco, TX
- NPI 1093899874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1346234614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE B-332",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-7788",
"fax_number": "972-566-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "RICHARD",
"middle_name": "LAWRENCE",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "G4068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "397487ZM3L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346234614",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "940841",
"state": "TX"
}
],
"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 Nov 13, 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.