Individual provider Active NPI

David Lee Cobbs, PH.D.

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1417990615
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
24428 Issued in TX
Practice address
12900 Preston Rd Ste 1015
Dallas, TX 75230-1339
Phone
(972) 385-0983
Fax
(972) 385-0984
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 24428 TX Primary

Addresses

Primary practice location

12900 Preston Rd Ste 1015
Dallas, TX 75230-1339

Mailing address

12900 Preston Rd Ste 1015
Dallas, TX 75230-1339
Phone (972) 385-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000221 TX Practitioner - Clinical Psychologist 7911046644 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Texas HSC, College of Osteopathic Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Preston Rd
Dallas, TX 75230-1339
Phone (972) 385-0983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24428TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1417990615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PRESTON RD STE 1015",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301339",
            "telephone_number": "972-385-0983",
            "fax_number": "972-385-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PRESTON RD STE 1015",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301339",
            "telephone_number": "972-385-0983",
            "fax_number": "972-385-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "24428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.