Active NPI
Polina Kaloyanova MD PA
- Endocrinology, Diabetes & Metabolism Physician
- Dallas, TX
National Provider Identifier
1518146935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- POLINA KALOYANOVA MD PA
- Practice address
- 7777 Forest LN Ste C206
Dallas, TX 75230-6834 - Phone
- (469) 694-8777
- Fax
- (469) 405-7111
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polina F Kaloyanova
- Title
- President
- Phone
- (469) 694-8777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
7777 Forest LN Ste C206
Dallas, TX 75230-6834
Mailing address
7777 Forest LN Ste C206
Dallas, TX 75230-6834
Phone (469) 694-8777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192891301 | Other | TX | MEDICAID GROUP |
| 192892101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
7777 Forest Ln
Ste C206
Dallas, TX 75230
Phone (469) 694-8777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1518146935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE C206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306834",
"telephone_number": "469-694-8777",
"fax_number": "469-405-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE C206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306834",
"telephone_number": "469-694-8777",
"fax_number": "469-405-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLINA KALOYANOVA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "KALOYANOVA",
"authorized_official_first_name": "POLINA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-694-8777"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "192891301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192892101",
"state": "TX"
}
],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.