Organization Active NPI

Shssjv1 LLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1538543178
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHSSJV1 LLC
Practice address
6400 Pinecrest Dr
Ste 300
Plano, TX 75024-2960
Phone
(972) 384-7000
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Lance Spivey
Title
President
Phone
(972) 384-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6400 Pinecrest Dr
Ste 300
Plano, TX 75024-2960

Mailing address

6400 Pinecrest Dr
Ste 300
Plano, TX 75024-2960
Phone (972) 384-7000

National Provider Directory

National Provider Directory

Locations

6400 Pinecrest Dr
Ste 300
Plano, TX 75024
Phone (972) 384-7000

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1538543178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PINECREST DR",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242960",
            "telephone_number": "972-384-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PINECREST DR",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242960",
            "telephone_number": "972-384-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHSSJV1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-384-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.