Individual provider Active NPI

Nadirkhan N Daya, M.D.

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1487616512
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0122 Issued in TX
Practice address
4323 N Josey LN
Ste 100
Carrollton, TX 75010-4633
Phone
(214) 731-9007
Fax
(214) 731-0822
NPI assigned
Apr 4, 2006
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0122 TX Primary

Addresses

Primary practice location

4323 N Josey LN
Ste 100
Carrollton, TX 75010-4633

Mailing address

4323 N Josey LN
Ste 100
Carrollton, TX 75010-4633
Phone (214) 731-9007

Other identifiers 1

IdentifierTypeStateIssuer
154268001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000445 TX Practitioner - Family Practice 4789688029 Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0122TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ndaya69554@direct.phhs.org

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1487616512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN",
            "address_2": "STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104633",
            "telephone_number": "214-731-9007",
            "fax_number": "214-731-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN",
            "address_2": "STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104633",
            "telephone_number": "214-731-9007",
            "fax_number": "214-731-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYA",
        "first_name": "NADIRKHAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154268001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.