Organization Active NPI

Gary F Roberts MD

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1356460265
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1371 Issued in TX
Legal business name
GARY F ROBERTS MD
Doing business as
Oates Family Practice Center
Practice address
2692 N Galloway Ave Ste 401
Mesquite, TX 75150-6361
Phone
(972) 223-8221
Fax
(972) 223-0733
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Gary F Roberts, M.D.NPI 1801972468
Title
Owner
Phone
(972) 223-8221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J1371 TX Primary

Addresses

Primary practice location

2692 N Galloway Ave Ste 401
Mesquite, TX 75150-6361

Mailing address

PO Box 940801
Plano, TX 75094-0801
Phone (972) 223-8221

Other identifiers 2

IdentifierTypeStateIssuer
080033133OtherTXMEDICARE RAILROAD
033735401MedicaidTX

Other names 1

  • Oates Family Practice Center Doing business as

National Provider Directory

National Provider Directory

Locations

2692 N Galloway Ave
Ste 401
Mesquite, TX 75150
Phone (972) 223-8221

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1356460265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940801",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940801",
            "telephone_number": "972-223-8221",
            "fax_number": "972-223-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 N GALLOWAY AVE STE 401",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506361",
            "telephone_number": "972-223-8221",
            "fax_number": "972-223-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY F ROBERTS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-223-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080033133",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033735401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oates Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.