Individual provider Active NPI

Christine D Desocarraz, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Plano, TX
National Provider Identifier
1447249966
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
F7736 Issued in UT
Practice address
304 Coit Rd
Suite 900
Plano, TX 75075-5721
Phone
(972) 312-1806
Fax
(972) 312-9401
NPI assigned
Oct 18, 2005
Last updated
Mar 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X F7736 UT Primary
General Practice Physician 208D00000X F7736 TX

Addresses

Primary practice location

304 Coit Rd
Suite 900
Plano, TX 75075-5721

Mailing address

304 Coit Rd
Suite 900
Plano, TX 75075-5721
Phone (972) 312-1806

Other identifiers 4

IdentifierTypeStateIssuer
OOTG92OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
132080603MedicaidTX
89041GOtherTXBCBS OF TEXAS
613563OtherTXMEDICARE PTAN

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000457 TX Practitioner - General Practice 1153484332 Practice locations: Plano, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7736UTMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
F7736TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christine.desocarraz.1@20728.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1447249966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 COIT RD",
            "address_2": "SUITE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755721",
            "telephone_number": "972-312-1806",
            "fax_number": "972-312-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 COIT RD",
            "address_2": "SUITE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755721",
            "telephone_number": "972-312-1806",
            "fax_number": "972-312-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOCARRAZ",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "F7736",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F7736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "OOTG92",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132080603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "89041G",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "613563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.