NPIMap

Organization Active NPI

Elite Primary Care

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Dallas, TX
National Provider Identifier
1467879171
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
K4647 Issued in TX
Legal business name
ELITE PRIMARY CARE
Practice address
14110 Dallas Pkwy
Suite 100
Dallas, TX 75254-4326
Phone
(972) 720-9943
Fax
(972) 720-0115
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Dr. Claudia Castano, M.D.
Title
Doctor
Phone
(972) 720-9943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X K4647 TX Primary

Addresses

Primary practice location

14110 Dallas Pkwy
Suite 100
Dallas, TX 75254-4326

Mailing address

PO Box 1210
Frisco, TX 75034-0021
Phone (972) 720-9943

National Provider Directory

National Provider Directory
Tax ID family
Elite Primary Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1467879171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340021",
            "telephone_number": "972-720-9943",
            "fax_number": "972-720-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 DALLAS PKWY",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544326",
            "telephone_number": "972-720-9943",
            "fax_number": "972-720-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-720-9943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "K4647",
            "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 Mar 20, 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.