Complete Family Practice & Sports Medicine, PA

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

COMPLETE FAMILY PRACTICE & SPORTS MEDICINE, PA

Practice address

1151 N Buckner Blvd
Suite 405
Dallas, TX 75218-3426

Phone

(214) 319-2900

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Obinna U Chukwuocha, D.O.NPI 1316997455

Title

Medical Director/President

Phone

(214) 319-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Obinna Chukwuocha, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Plano, TX
  • NPI 1316997455
  NPD (past) Authorized official
• Christopher A. Bloom, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1518967686
  NPD (past)
• Sarah Elizabeth Guido

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1174081756
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1437109220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-319-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-319-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY PRACTICE & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "CHUKWUOCHA",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "214-319-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181705801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Complete Spinal Care and Rehab, PA
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• Sports Medicine (Family Medicine) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.