Organization Active NPI

North Dallas Internal Medicine, LLP

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1407874381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E8725 Issued in TX
Legal business name
NORTH DALLAS INTERNAL MEDICINE, LLP
Practice address
8210 Walnut Hill LN Ste 416
Dallas, TX 75231-4410
Phone
(214) 696-1118
Fax
(214) 696-4447
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruthann Moseley
Title
Office Manager
Phone
(214) 696-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X E8725 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 416
Dallas, TX 75231-4410

Mailing address

8210 Walnut Hill LN Ste 416
Dallas, TX 75231-4410
Phone (214) 696-1118

Other identifiers 1

IdentifierTypeStateIssuer
41PDOtherTXBCBS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8210 Walnut Hill Ln
Ste 812
Dallas, TX 75231
Phone (214) 691-8000

8210 Walnut Hill Ln
Ste 416
Dallas, TX 75231
Phone (214) 696-1118

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407874381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 416",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314410",
            "telephone_number": "214-696-1118",
            "fax_number": "214-696-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 416",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314410",
            "telephone_number": "214-696-1118",
            "fax_number": "214-696-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS INTERNAL MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "RUTHANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-696-1118"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41PD",
            "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 Aug 22, 2020; 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.