Organization Active NPI

Vikas Jain MD PA Corp

  • Cardiovascular Disease Physician
  • Southlake, TX
National Provider Identifier
1487983771
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L4468 Issued in TX
Legal business name
VIKAS JAIN MD PA CORP
Practice address
802 Worthing CT
Southlake, TX 76092-8877
Phone
(817) 657-1667
Fax
(817) 416-9933
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Vikas C Jain, M.D. FACC
Title
Member
Phone
(817) 657-1667

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X L4468 TX Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X LL468 TX
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X LL468 TX

Addresses

Primary practice location

802 Worthing CT
Southlake, TX 76092-8877

Mailing address

802 Worthing CT
Southlake, TX 76092-8877
Phone (817) 657-1667

Other names 1

  • Vikas Jain MD PA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1487983771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WORTHING CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928877",
            "telephone_number": "817-657-1667",
            "fax_number": "817-416-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WORTHING CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928877",
            "telephone_number": "817-657-1667",
            "fax_number": "817-416-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKAS JAIN MD PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-657-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4468",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "LL468",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "LL468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vikas Jain MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.