Organization Active NPI

Advanced Heart and Rhythm, PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1548660889
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M2274 Issued in TX
Legal business name
ADVANCED HEART AND RHYTHM, PLLC
Practice address
3650 W Wheatland Rd
Suite C
Dallas, TX 75237-3494
Phone
(214) 774-9771
Fax
(214) 774-9762
NPI assigned
Aug 22, 2014
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Russell Canham, MD, MCSNPI 1629288246
Title
President
Phone
(214) 774-9771

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X M2274 TX
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X M2274 TX Primary

Addresses

Primary practice location

3650 W Wheatland Rd
Suite C
Dallas, TX 75237-3494

Mailing address

3650 W Wheatland Rd
Suite C
Dallas, TX 75237-3494
Phone (214) 774-9771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023000585 TX Part B Supplier - Clinic/Group Practice 4688895238 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2094837Advanced Heart and Rhythm3650 W Wheatland Rd, Ste C, Dallas, TX 75237Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

13101 Preston Rd
#110423
Dallas, TX 75240

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": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1548660889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 W WHEATLAND RD",
            "address_2": "SUITE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373494",
            "telephone_number": "214-774-9771",
            "fax_number": "214-774-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W WHEATLAND RD",
            "address_2": "SUITE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373494",
            "telephone_number": "214-774-9771",
            "fax_number": "214-774-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART AND RHYTHM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CANHAM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-774-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MCS"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2274",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M2274",
            "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 Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.