Organization Active NPI

Julio Olivieri

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1447562541
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2549 Issued in TX
Legal business name
JULIO OLIVIERI
Practice address
6300 Samuell Blvd
Ste 120
Dallas, TX 75228-7137
Phone
(214) 381-1910
Fax
(214) 381-2868
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Julio Olivieri, M.D.NPI 1881605780
Title
President/Owner
Phone
(214) 381-1910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K2549 TX Primary

Addresses

Primary practice location

6300 Samuell Blvd
Ste 120
Dallas, TX 75228-7137

Mailing address

6300 Samuell Blvd
Ste 120
Dallas, TX 75228-7137
Phone (214) 381-1910

Other identifiers 5

IdentifierTypeStateIssuer
10028091OtherAMERIGROUP IDENTIFICATION
111912503MedicaidTX
4785OtherTXPARKLAND IDENTIFICATION
0057BLOtherTXBLUECROSS BLUE SHIELD
111912501MedicaidTX

Other names 1

  • URBAN CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

6300 Samuell Blvd
Ste 120
Dallas, TX 75228
Phone (214) 381-1910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1447562541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287137",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287137",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO OLIVIERI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "OLIVIERI",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-381-1910",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP IDENTIFICATION",
            "identifier": "10028091",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111912503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND IDENTIFICATION",
            "identifier": "4785",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0057BL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111912501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URBAN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.