Richard G. Jaeckle, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C9022 Issued in TX

Legal business name

RICHARD G. JAECKLE, M.D., P.A.

Practice address

8220 Walnut Hill LN
Suite 404
Dallas, TX 75231-4427

Phone

(214) 696-0964

Fax

(214) 696-1094

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard G JaeckleNPI 1326152471

Title

President

Phone

(214) 696-0964

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard G Jaeckle, M.D.

  • Specialist
  • Dallas, TX
  • NPI 1326152471
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356455406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-696-0964",
            "fax_number": "214-696-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-696-0964",
            "fax_number": "214-696-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. JAECKLE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAECKLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-696-0964",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "C9022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C. Galperin, D.P.M., P.a.
• Richard E Berger MD PA
• Richard Eller MD PA
• Richard F. Toussaint, M.D., P.a.
• Richard G Miller DDS PA
• Richard H Weiner DPM PA
• Richard H. Weiner, DPM, P.a.
• Richard Ha MD PA
• Richard Ha MD PA
• Richard W. Hare, D.C.

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.