Organization Active NPI

Advanced Heart Care PA

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1538197546
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED HEART CARE PA
Practice address
8150 N Central Expy
Suite M-1001
Dallas, TX 75206-1815
Phone
(214) 221-0022
Fax
(214) 691-8292
NPI assigned
Jun 29, 2006
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Jeffery R Gladden, MD
Title
President
Phone
(214) 221-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

8150 N Central Expy
Suite M-1001
Dallas, TX 75206-1815

Mailing address

8150 N Central Expy
M1001
Dallas, TX 75206-1815
Phone (214) 221-0022

Other identifiers 3

IdentifierTypeStateIssuer
146977701MedicaidTX
109406203MedicaidTX
109406202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000146 TX Part B Supplier - Clinic/Group Practice 7214910132 Receives reassigned benefits from 19 practitioners
Practice locations: Mansfield, TX; Sulphur Springs, TX; Plano, TX; Paris, TX; Mt Pleasant, TX; Grapevine, TX; Ft Worth, TX; Denison, TX…

National Provider Directory

National Provider Directory

Locations

1425 E Lincoln Rd
Ste A5
Idabel, OK 74745
Phone (580) 208-2700

4 SE Avenue A
Idabel, OK 74745
Phone (580) 208-2700

504 Lipscomb St
Fl 3
Bonham, TX 75418
Phone (903) 416-2663

8150 N Central Expy
#9632
Dallas, TX 75206

8150 N Central Expy
Ste M1001
Dallas, TX 75206
Phone (214) 221-0022

8230 Walnut Hill Ln
Ste 620
Dallas, TX 75231
Phone (214) 221-0022

2401 S FM 51
Ste 200
Decatur, TX 76234
Phone (940) 627-0044

609 Medical Center Dr
Ste 2100
Decatur, TX 76234
Phone (940) 627-0044

2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225

1759 E Broad St
Mansfield, TX 76063

1900 Mulberry Ave
Mt Pleasant, TX 75455
Phone (903) 572-8745

2001 Mulberry Ave
Ste B
Mt Pleasant, TX 75455
Phone (903) 572-7776

1025 Deshong Dr
Paris, TX 75460
Phone (903) 785-4600

8301 Lakeview Pkwy
Ste 106
Rowlett, TX 75088
Phone (254) 717-9364

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1538197546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "M1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "SUITE M-1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-221-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146977701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109406203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109406202",
            "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 Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.