Organization Active NPI

Jennifer Crofford Freeman MD PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1528288727
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5060 Issued in TX
Legal business name
JENNIFER CROFFORD FREEMAN MD PA
Doing business as
Jennifer Crofford Freeman, M.D., P.A.
Practice address
8160 Walnut Hill LN
Suite 212
Dallas, TX 75231-4339
Phone
(214) 345-8485
Fax
(214) 345-8486
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Jennifer Crofford Freeman, MD
Title
Owner Operator
Phone
(214) 345-8485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G5060 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN
Suite 212
Dallas, TX 75231-4339

Mailing address

PO Box 678149
Dallas, TX 75267-8149
Phone (214) 345-8485

Other identifiers 1

IdentifierTypeStateIssuer
032777701MedicaidTX

Other names 1

  • Jennifer Crofford Freeman, M.D., P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

8160 Walnut Hill Ln
Ste 212
Dallas, TX 75231
Phone (214) 345-8485

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1528288727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678149",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678149",
            "telephone_number": "214-345-8485",
            "fax_number": "214-345-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-345-8485",
            "fax_number": "214-345-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CROFFORD FREEMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CROFFORD",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "214-345-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032777701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Crofford Freeman, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2008; 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.