Individual provider Active NPI

Christopher Odell Taliaferro, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1346604352
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R5659 Issued in TX
Practice address
3500 W Wheatland Rd
Dallas, TX 75237
Phone
(214) 947-7777
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X R5659 TX Primary

Addresses

Primary practice location

3500 W Wheatland Rd
Dallas, TX 75237

Mailing address

6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 590-8000

Other practice location 2

850 Ed Hall Dr
Kaufman, TX 75142-1861
Phone (972) 932-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327003029 TX Practitioner - Emergency Medicine 3577825710 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R5659TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 6, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 6, 2018 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1935 Medical District Dr
#D
Dallas, TX 75235

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

6451 Brentwood Stair Rd
Ste 200
Ft Worth, TX 76112
Phone (817) 496-9700

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1346604352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-947-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Ed Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751421861",
            "country_code": "US",
            "telephone_number": "972-932-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "CHRISTOPHER",
        "middle_name": "ODELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.