Organization Active NPI

Aj Applewhite MD PA

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Dallas, TX
National Provider Identifier
1386805380
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
AJ APPLEWHITE MD PA
Practice address
3500 Gaston Ave
Suite 210 Barnett Tower
Dallas, TX 75246-2017
Phone
(214) 820-4400
Fax
(214) 820-4422
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Mrs. Mia M Higgins
Title
A/R Manager
Phone
(972) 786-0340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X Primary

Addresses

Primary practice location

3500 Gaston Ave
Suite 210 Barnett Tower
Dallas, TX 75246-2017

Mailing address

PO Box 225971
Dallas, TX 75222-5971
Phone (972) 786-0340

Other practice location 1

400 W Lyndon B Johnson Fwy Ste 130
Irving, TX 75063-3700
Phone (972) 990-5222

Other identifiers 2

IdentifierTypeStateIssuer
0080YUOtherTXBCBS
1386805380OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000525 TX Part B Supplier - Clinic/Group Practice 3779621297 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX; Irving, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1386805380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225971",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752225971",
            "telephone_number": "972-786-0340",
            "fax_number": "972-786-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "SUITE 210 BARNETT TOWER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-4400",
            "fax_number": "214-820-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Lyndon B Johnson Fwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633700",
            "country_code": "US",
            "telephone_number": "972-990-5222",
            "fax_number": "972-990-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJ APPLEWHITE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "972-786-0340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0080YU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386805380",
            "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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.