Individual provider Active NPI

Amber Gabbard

  • Radiation Therapy Radiologic Technologist
  • Dallas, TX
National Provider Identifier
1447659594
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
License
T8661577 Issued in OH
Practice address
9441 LBJ Fwy
Suite 602
Dallas, TX 75243-4545
Phone
(888) 800-8744
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Therapy Radiologic Technologist 2471R0002X T8661577 OH Primary

Addresses

Primary practice location

9441 LBJ Fwy
Suite 602
Dallas, TX 75243-4545

Mailing address

PO Box 307
Dublin, IN 47335-0307
Phone (513) 314-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T8661577OHMDRadiation Therapy Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supplemental Health Care Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1447659594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "DUBLIN",
            "state": "IN",
            "postal_code": "473350307",
            "telephone_number": "513-314-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY",
            "address_2": "SUITE 602",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434545",
            "telephone_number": "888-800-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OH",
            "license": "T8661577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 14, 2014; 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.