Active NPI
Roxanne E. Pero, MD
- Student in an Organized Health Care Education/Training Program
- Dallas, TX
National Provider Identifier
1508069790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8160 Walnut Hill LN
Suite 200
Dallas, TX 75231-4339 - Phone
- (214) 363-4421
- Fax
- (214) 987-1657
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | N5332 | TX |
Addresses
Primary practice location
8160 Walnut Hill LN
Suite 200
Dallas, TX 75231-4339
Mailing address
8160 Walnut Hill LN
Suite 200
Dallas, TX 75231-4339
Phone (214) 363-4421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N5332 | Other | TX | TEXAS MEDICAL BOARD |
| BP1-0026451 | Other | INSTITUTIONAL PERMIT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101216000720 | TX | Practitioner - Obstetrics/Gynecology | 0345438420 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5332 | TX | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1508069790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 WALNUT HILL LN",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314339",
"telephone_number": "214-363-4421",
"fax_number": "214-987-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 WALNUT HILL LN",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314339",
"telephone_number": "214-363-4421",
"fax_number": "214-987-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERO",
"first_name": "ROXANNE",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N5332",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "N5332",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0026451",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.