City of University Park

Primary specialty

AmbulanceTaxonomy code 341600000X

License

057038 Issued in TX

Legal business name

CITY OF UNIVERSITY PARK

Practice address

3800 University Blvd
Dallas, TX 75205-1711

Phone

(214) 987-5380

Fax

(214) 987-5384

NPI assigned

Mar 8, 2007

Last updated

Jul 22, 2013By 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

Phyllis Mahan

Title

Administrative Assistant

Phone

(214) 987-5380

Specialties & licenses 1

Addresses

Other names 1

• University Park Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1376674762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495548",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750495548",
            "telephone_number": "214-987-5380",
            "fax_number": "214-987-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 UNIVERSITY BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051711",
            "telephone_number": "214-987-5380",
            "fax_number": "214-987-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF UNIVERSITY PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "214-987-5380"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "057038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Park Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.