Active NPI
Arapaho Village Medical Association
- Family Medicine Physician
- Richardson, TX
National Provider Identifier
1487771523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARAPAHO VILLAGE MEDICAL ASSOCIATION
- Practice address
- 403 W Campbell Rd
Suite 103
Richardson, TX 75080-3465 - Phone
- (972) 235-8311
- Fax
- (972) 235-2663
- NPI assigned
- Mar 23, 2007
- Last updated
- Aug 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Ross
- Title
- Accounting
- Phone
- (972) 235-8311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
403 W Campbell Rd
Suite 103
Richardson, TX 75080-3465
Mailing address
403 W Campbell Rd
Suite 103
Richardson, TX 75080-3465
Phone (972) 235-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0477769 | Arapaho Village Medical Association | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
403 W Campbell Rd
Ste 103
Richardson, TX 75080
Phone (972) 235-8311
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Richardson, TX
- NPI 1982612180
-
- Family Medicine Physician
- Richardson, TX
- NPI 1164430302
-
- Family Medicine Physician
- Richardson, TX
- NPI 1497763627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1487771523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W CAMPBELL RD",
"address_2": "SUITE 103",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803465",
"telephone_number": "972-235-8311",
"fax_number": "972-235-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W CAMPBELL RD",
"address_2": "SUITE 103",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803465",
"telephone_number": "972-235-8311",
"fax_number": "972-235-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARAPAHO VILLAGE MEDICAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "ACCOUNTING",
"authorized_official_telephone_number": "972-235-8311"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"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 Aug 12, 2010; 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.