NPIMap

Organization Active NPI

Deuteronomy

  • General Practice Physician
  • Kaufman, TX
National Provider Identifier
1386665495
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DEUTERONOMY
Practice address
874 W Highway 243
Suite 108-B
Kaufman, TX 75142-1800
Phone
(972) 792-5700
NPI assigned
Jul 22, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Debi Glick
Title
VP Admin
Phone
(972) 792-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

874 W Highway 243
Suite 108-B
Kaufman, TX 75142-1800

Mailing address

PO Box 910042
Dallas, TX 75391-0042

Other identifiers 2

IdentifierTypeStateIssuer
00845KOtherTXBCBS
1198368-07MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1386665495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910042",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W HIGHWAY 243",
            "address_2": "SUITE 108-B",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421800",
            "telephone_number": "972-792-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEUTERONOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "VP ADMIN",
        "authorized_official_telephone_number": "972-792-5700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00845K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198368-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.