Active NPI
Larry George Shadid, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1346355484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H1530
- Practice address
- 8226 Douglas Ave
Suite #805
Dallas, TX 75225-5943 - Phone
- (214) 739-1101
- Fax
- (214) 373-3404
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H1530 | TX | Primary |
Addresses
Primary practice location
8226 Douglas Ave
Suite #805
Dallas, TX 75225-5943
Mailing address
2525 Worthington St
#310
Dallas, TX 75204-2556
Phone (214) 914-1015
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1530 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346355484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WORTHINGTON ST",
"address_2": "#310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042556",
"telephone_number": "214-914-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8226 DOUGLAS AVE",
"address_2": "SUITE #805",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255943",
"telephone_number": "214-739-1101",
"fax_number": "214-373-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADID",
"first_name": "LARRY",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H1530",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.