Organization Active NPI

University of Texas Dallas

  • Student Health Clinic/Center
  • Richardson, TX
National Provider Identifier
1457652323
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF TEXAS DALLAS
Practice address
800 W Campbell Rd
Ab10
Richardson, TX 75080-3021
Phone
(972) 883-4066
Fax
(972) 883-4496
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Mr. Tom Monagan, ATC
Title
Head Athletic Trainer
Phone
(972) 883-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

800 W Campbell Rd
Ab10
Richardson, TX 75080-3021

Mailing address

800 W Campbell Rd
Ab10
Richardson, TX 75080-3021
Phone (972) 883-4066

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1087210University of Texas at Dallas, the800 W Campbell Rd Suite 4700, Richardson, TX 75080Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Callier Center for Communication Disorders2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 W Campbell Rd
#10
Richardson, TX 75080
Phone (972) 883-4066

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1457652323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CAMPBELL RD",
            "address_2": "AB10",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803021",
            "telephone_number": "972-883-4066",
            "fax_number": "972-883-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CAMPBELL RD",
            "address_2": "AB10",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803021",
            "telephone_number": "972-883-4066",
            "fax_number": "972-883-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "MONAGAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "972-883-4066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.