Organization Active NPI

Lawrence N Pivnick, MD, PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1528352796
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9336 Issued in TX
Legal business name
LAWRENCE N PIVNICK, MD, PA
Practice address
10 Medical Pkwy Ste 206
Dallas, TX 75234-7845
Phone
(972) 247-3262
Fax
(972) 247-1406
NPI assigned
Jun 6, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Lawrence Neil Pivnick, MDNPI 1831176551
Title
President
Phone
(972) 247-3262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E9336 TX Primary

Addresses

Primary practice location

10 Medical Pkwy Ste 206
Dallas, TX 75234-7845

Mailing address

10 Medical Pkwy Ste 206
Dallas, TX 75234-7845
Phone (972) 247-3262

National Provider Directory

National Provider Directory

Locations

10 Medical Pkwy
Ste 206
Dallas, TX 75234
Phone (972) 247-3262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1528352796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347845",
            "telephone_number": "972-247-3262",
            "fax_number": "972-247-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347845",
            "telephone_number": "972-247-3262",
            "fax_number": "972-247-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE N PIVNICK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "PIVNICK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-247-3262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9336",
            "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 Jun 6, 2011; 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.