NPIMap

Organization Active NPI

Collin County Diagnostic Associates PLLC

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1467627638
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLLIN COUNTY DIAGNOSTIC ASSOCIATES PLLC
Practice address
8080 State Highway 121
Suite 360
McKinney, TX 75070-2901
Phone
(214) 383-6676
Fax
(214) 383-6677
NPI assigned
Apr 28, 2008
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Jeff Henderson
Title
President
Phone
(615) 373-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

8080 State Highway 121
Suite 360
McKinney, TX 75070-2901

Mailing address

8080 State Highway 121
Suite 360
McKinney, TX 75070-2901
Phone (214) 383-6676

Other identifiers 1

IdentifierTypeStateIssuer
197920501MedicaidTX

National Provider Directory

National Provider Directory

Locations

4501 Medical Center Dr
Ste 200
McKinney, TX 75069
Phone (972) 547-0352

8080 State Highway 121
Ste 360
McKinney, TX 75070
Phone (214) 383-6676

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1467627638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 360",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702901",
            "telephone_number": "214-383-6676",
            "fax_number": "214-383-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 360",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702901",
            "telephone_number": "214-383-6676",
            "fax_number": "214-383-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN COUNTY DIAGNOSTIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-373-7600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197920501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.