Organization Active NPI

Melanie O Christina MD PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1467640920
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J3766 Issued in TX
Legal business name
MELANIE O CHRISTINA MD PA
Practice address
8335 Walnut Hill LN Ste 215
Dallas, TX 75231-4268
Phone
(214) 758-7480
Fax
(214) 758-7481
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Melanie Owen Christina, MDNPI 1003805292
Title
Physician/Owner
Phone
(214) 263-0585

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 J3766 TX Primary

Addresses

Primary practice location

8335 Walnut Hill LN Ste 215
Dallas, TX 75231-4268

Mailing address

8335 Walnut Hill LN Ste 215
Dallas, TX 75231-4268
Phone (214) 758-7480

Other identifiers 1

IdentifierTypeStateIssuer
00475ZOtherTXMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000486 TX Part B Supplier - Clinic/Group Practice 3173558228 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

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
45D2189247Melanie O Christina, MD, PA8335 Walnut Hill LN Suite 215, Dallas, TX 75231Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

8210 Walnut Hill Ln
Ste 408
Dallas, TX 75231
Phone (214) 369-3278

8335 Walnut Hill Ln
Ste 215
Dallas, TX 75231
Phone (214) 696-8080

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1467640920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314268",
            "telephone_number": "214-758-7480",
            "fax_number": "147-587-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314268",
            "telephone_number": "214-758-7480",
            "fax_number": "214-758-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE O CHRISTINA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTINA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "214-263-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00475Z",
            "state": "TX"
        }
    ],
    "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 Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.