Organization Active NPI

Louis R. Nardizzi MD, PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1366764078
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4560 Issued in TX
Legal business name
LOUIS R. NARDIZZI MD, PA
Practice address
8210 Walnut Hill LN
Suite 613
Dallas, TX 75231-4405
Phone
(214) 691-7775
Fax
(214) 360-9031
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Louis R Nardizzi, MD
Title
Owner
Phone
(214) 691-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E4560 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN
Suite 613
Dallas, TX 75231-4405

Mailing address

8210 Walnut Hill LN
Suite 613
Dallas, TX 75231-4405
Phone (214) 691-7775

Other identifiers 1

IdentifierTypeStateIssuer
0329740-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

8200 Walnut Hill Ln
Ste J1W
Dallas, TX 75231
Phone (214) 345-8000

8210 Walnut Hill Ln
Ste 613
Dallas, TX 75231
Phone (214) 691-7775

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1366764078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 613",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-691-7775",
            "fax_number": "214-360-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 613",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-691-7775",
            "fax_number": "214-360-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS R. NARDIZZI MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "NARDIZZI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-691-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329740-01",
            "state": "TX"
        }
    ],
    "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 Feb 22, 2010; 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.