Active NPI
Maurizio Bendandi
- Hematology & Oncology Physician
- Dallas, TX
National Provider Identifier
1508222720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2016-01868
- Practice address
- 6722 Mimosa LN
Dallas, TX 75230-5214 - Phone
- (214) 361-0327
- NPI assigned
- Jan 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2016-01868 | NC | Primary |
Addresses
Primary practice location
6722 Mimosa LN
Dallas, TX 75230-5214
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255
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 |
|---|---|---|---|
| 2016-01868 | NC | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1508222720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2255",
"fax_number": "336-716-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6722 MIMOSA LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752305214",
"telephone_number": "214-361-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDANDI",
"first_name": "MAURIZIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-04",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2016-01868",
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.