NPIMap

Organization Active NPI

Dynal M London PA

  • Specialist
  • Rowlett, TX
National Provider Identifier
1457544694
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K2060 Issued in TX
Legal business name
DYNAL M LONDON PA
Practice address
6900 Scenic Dr
103
Rowlett, TX 75088-2695
Phone
(972) 412-1034
Fax
(972) 475-5708
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Dynal M London, MDNPI 1932101078
Title
President
Phone
(972) 412-1034

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K2060 TX Primary

Addresses

Primary practice location

6900 Scenic Dr
103
Rowlett, TX 75088-2695

Mailing address

6900 Scenic Dr
103
Rowlett, TX 75088-2695
Phone (972) 412-1034

Other identifiers 2

IdentifierTypeStateIssuer
83241SOtherTXBCBS ID
G47098OtherUPIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1457544694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 SCENIC DR",
            "address_2": "103",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750882695",
            "telephone_number": "972-412-1034",
            "fax_number": "972-475-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 SCENIC DR",
            "address_2": "103",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750882695",
            "telephone_number": "972-412-1034",
            "fax_number": "972-475-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAL M LONDON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "DYNAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-412-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "83241S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G47098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.