Active NPI
George Daniel Mingea, M.D.
- Pediatrics Physician
- Wylie, TX
National Provider Identifier
1407126972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G7689
- Practice address
- 189 Mallard PT
Wylie, TX 75098-6836 - Phone
- (972) 429-5809
- NPI assigned
- Dec 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G7689 | TX | Primary |
| General Practice Physician | 208D00000X | MD2011-0778 | NM |
Addresses
Primary practice location
189 Mallard PT
Wylie, TX 75098-6836
Mailing address
189 Mallard PT
Wylie, TX 75098-6836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0778 | NM | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1407126972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 MALLARD PT",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MALLARD PT",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986836",
"telephone_number": "972-429-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGEA",
"first_name": "GEORGE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G7689",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "MD2011-0778",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.