Organization Active NPI

Ivp, PLLC

  • Clinic/Center
  • Southlake, TX
National Provider Identifier
1538745450
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IVP, PLLC
Practice address
470 E State Highway 114
Southlake, TX 76092-4406
Phone
(214) 450-9926
NPI assigned
Mar 22, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Moshe Feldhendler, MDNPI 1205906674
Title
Owner
Phone
(214) 500-5755

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

470 E State Highway 114
Southlake, TX 76092-4406

Mailing address

5995 Summerside Dr Unit 797972
Dallas, TX 75379-0220
Phone (214) 390-7697

National Provider Directory

National Provider Directory

Locations

5995 Summerside Dr
Unit 797972
Dallas, TX 75379

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1538745450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SUMMERSIDE DR UNIT 797972",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753790220",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924406",
            "telephone_number": "214-450-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "FELDHENDLER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-500-5755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.