Organization Active NPI

Polina Kaloyanova MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Dallas, TX
National Provider Identifier
1518146935
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
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

Updated by the provider on Sep 19, 2022

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
192891301OtherTXMEDICAID GROUP
192892101MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.