Ad Complete Health Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AD COMPLETE HEALTH CARE, PLLC

Doing business as

Justin Medical
Northlake Medical
Ponder Medical

Practice address

1545 Westview LN
Northlake, TX 76226-1467

Phone

(940) 368-7769

NPI assigned

May 22, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Davis, PA-C

Title

Member

Phone

(940) 368-7769

Specialties & licenses 1

Addresses

Other names 3

• Justin Medical Doing business as
• Northlake Medical Doing business as
• Ponder Medical Doing business as

Locations

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346731676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762620128",
            "telephone_number": "940-368-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WESTVIEW LN",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762261467",
            "telephone_number": "940-368-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD COMPLETE HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "940-368-7769",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justin Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northlake Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponder Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A. B. Sadkin PLLC (Northlake Dental Studio)
• Aaron D. Schrayer, Mdpa
• Kathy Abide
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• Tamar Bennetsen, DO
• Bethesda Family Practice LLC
• Brady G. Giesler, M.D. PA

• Family Medicine Physician in Northlake, TX
• Providers in Northlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.