Active NPI
Diana Casanova, M.D., P.a.
- Family Medicine Physician
- Odessa, TX
National Provider Identifier
1407998735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G8798
- Legal business name
- DIANA CASANOVA, M.D., P.A.
- Practice address
- 601 E 2ND St
Suite F
Odessa, TX 79761-5423 - Phone
- (432) 332-1273
- Fax
- (432) 367-8687
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diana Casanova, M.D.
- Title
- Owner
- Phone
- (432) 332-1273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G8798 | TX | Primary |
Addresses
Primary practice location
601 E 2ND St
Suite F
Odessa, TX 79761-5423
Mailing address
P O Box 13030
Odessa, TX 79768-3030
Phone (432) 332-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148739901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4241 Tanglewood Ln
Ste 2
Odessa, TX 79762
Phone (432) 332-1273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1407998735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 13030",
"city": "ODESSA",
"state": "TX",
"postal_code": "797683030",
"telephone_number": "432-332-1273",
"fax_number": "432-367-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 2ND ST",
"address_2": "SUITE F",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615423",
"telephone_number": "432-332-1273",
"fax_number": "432-367-8687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANA CASANOVA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "CASANOVA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "432-332-1273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "G8798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148739901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.