Organization Active NPI

Native Cardinal LLC

  • Internal Medicine Physician
  • Westchester, IL
National Provider Identifier
1508371253
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATIVE CARDINAL LLC
Practice address
1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone
(281) 547-0706
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Peter J Bennett
Title
Owner / Director
Phone
(281) 547-0706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709

Mailing address

202 Travis St Ste 207
Houston, TX 77002-1726

National Provider Directory

National Provider Directory

Locations

202 Travis St
Ste 207
Houston, TX 77002

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1508371253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TRAVIS ST STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR STE 300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545709",
            "telephone_number": "281-547-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE CARDINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "281-547-0706"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.