Organization Active NPI

OB/GYN of North Texas LLP

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1548215908
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB/GYN OF NORTH TEXAS LLP
Practice address
1600 W College
#540
Grapevine, TX 76051
Phone
(817) 481-5863
Fax
(817) 329-8561
NPI assigned
May 24, 2006
Organization subpart
Yes
Parent organization
OB/GYN OF NORTH TEXAS, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Robert B Wai, MDNPI 1134181308
Title
Physician
Phone
(817) 481-5863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X TX Primary

Addresses

Primary practice location

1600 W College
#540
Grapevine, TX 76051

Mailing address

1600 West College Ave
Ste 540
Grapevine, TX 76051-3589
Phone (817) 481-5863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000763 TX Part B Supplier - Clinic/Group Practice 8426219403 Receives reassigned benefits from 4 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory
Part of
Obstetrics Gynecology of N

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1548215908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEST COLLEGE AVE",
            "address_2": "STE 540",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513589",
            "telephone_number": "817-481-5863",
            "fax_number": "817-329-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE",
            "address_2": "#540",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-481-5863",
            "fax_number": "817-329-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN OF NORTH TEXAS LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OB/GYN OF NORTH TEXAS, LLP",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "WAI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-481-5863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.