Organization Active NPI

Urology Associates of Central Texas PA

  • Urology Physician
  • Kyle, TX
National Provider Identifier
1497062194
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY ASSOCIATES OF CENTRAL TEXAS PA
Practice address
1180 Seton Pkwy
Suite 320
Kyle, TX 78640-6179
Phone
(512) 268-7100
Fax
(512) 268-7200
NPI assigned
Sep 2, 2010
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Robert B. Dickinson, M.D.NPI 1306823463
Title
Owner/President
Phone
(512) 268-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

1180 Seton Pkwy
Suite 320
Kyle, TX 78640-6179

Mailing address

1180 Seton Pkwy
Suite 320
Kyle, TX 78640-6179
Phone (512) 268-7100

Other identifiers 2

IdentifierTypeStateIssuer
0092TWOtherTXBCBS
2199291-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1497062194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 320",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "512-268-7100",
            "fax_number": "512-268-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 320",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "512-268-7100",
            "fax_number": "512-268-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF CENTRAL TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-268-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0092TW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199291-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.