Active NPI
Olga Doroftei, M.D
- Physical Medicine & Rehabilitation Physician
- Grapevine, TX
National Provider Identifier
1497936645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- N6265
- Practice address
- 1701 W Northwest Hwy Ste 100
Grapevine, TX 76051 - Phone
- (817) 284-9850
- Fax
- (817) 284-3425
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2007012257 | MO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | N6265 | TX | Primary |
Addresses
Primary practice location
1701 W Northwest Hwy Ste 100
Grapevine, TX 76051
Mailing address
1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145
Phone (817) 284-9850
Other practice location 1
3511 Corinth Pkwy
Corinth, TX 76208-5384
Phone (940) 270-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2171258-02 | Medicaid | TX | |
| 8CU423 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007012257 | MO | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1497936645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W NORTHWEST HWY STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518145",
"telephone_number": "817-284-9850",
"fax_number": "817-284-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W NORTHWEST HWY STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-284-9850",
"fax_number": "817-284-3425"
}
],
"practiceLocations": [
{
"address_1": "3511 Corinth Pkwy",
"address_purpose": "LOCATION",
"city": "Corinth",
"state": "TX",
"postal_code": "762085384",
"country_code": "US",
"telephone_number": "940-270-3400",
"fax_number": "940-270-3401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOROFTEI",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2007012257",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "N6265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2171258-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CU423",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.