Organization Active NPI

Lina N. Al-Dahhan MD PA.

  • Pediatrics Physician
  • Garland, TX
National Provider Identifier
1386985141
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K2398 Issued in TX
Legal business name
LINA N. AL-DAHHAN MD PA.
Practice address
2825 Belt Line Rd Ste 103
Garland, TX 75044-7011
Phone
(469) 814-0456
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Lina N. Al-Dahhan, M.D.NPI 1598754954
Title
Provider
Phone
(409) 767-1111

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K2398 TX Primary

Addresses

Primary practice location

2825 Belt Line Rd Ste 103
Garland, TX 75044-7011

Mailing address

3704 Dusty TRL
Richardson, TX 75082-2742
Phone (409) 767-1111

Other practice location 1

12201 Merit Dr
Suite # 440
Dallas, TX 75251-2213
Phone (972) 490-6556

Other names 1

  • Pediatrics & Adolescent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629001073 TX Part B Supplier - Clinic/Group Practice 3375944390 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1386985141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 DUSTY TRL",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822742",
            "telephone_number": "409-767-1111",
            "fax_number": "972-490-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BELT LINE RD STE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447011",
            "telephone_number": "469-814-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Merit Dr",
            "address_2": "Suite # 440",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752512213",
            "country_code": "US",
            "telephone_number": "972-490-6556",
            "fax_number": "972-490-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINA N. AL-DAHHAN MD PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "AL-DAHHAN",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "409-767-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics & Adolescent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.