Michael a Benavides DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6044 Issued in TX

Legal business name

MICHAEL A BENAVIDES DO PA

Practice address

1350 N Buckner Blvd
Suite 101
Dallas, TX 75218-3558

Phone

(972) 682-5757

Fax

(972) 682-6611

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Benavides, D.O.

Title

Physician, Owner,President

Phone

(972) 682-5757

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11804/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1437484268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570543",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753570543",
            "telephone_number": "972-682-5757",
            "fax_number": "972-682-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N BUCKNER BLVD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183558",
            "telephone_number": "972-682-5757",
            "fax_number": "972-682-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BENAVIDES DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER,PRESIDENT",
        "authorized_official_telephone_number": "972-682-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3475816-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3475816-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rabiya Mian
• Tabarak Muhammad Mian, M.D.
• Kiran Mianoor
• Maggie Gu Miao
• Wesley Miaw
• Michael a. McHenry, M.D., P.a.
• Michael Carroll MD PA
• Michael D Ashenfelter Jr
• Michael Douglas Magee, MD, PA
• Michael Downing MD PA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.