Organization Active NPI

Jimmy K. Lu, M.D.& Associates

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1568603850
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JIMMY K. LU, M.D.& ASSOCIATES
Practice address
3430 W Wheatland Rd
Suite 119
Dallas, TX 75237-3446
Phone
(972) 296-5252
Fax
(972) 283-6790
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Jimmy Kien-Teh Lu, M.D.
Title
President/Owner
Phone
(972) 296-5252

Specialties & licenses 1

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

Addresses

Primary practice location

3430 W Wheatland Rd
Suite 119
Dallas, TX 75237-3446

Mailing address

3430 W Wheatland Rd
Suite 119
Dallas, TX 75237-3446
Phone (972) 296-5252

Other identifiers 1

IdentifierTypeStateIssuer
126899701MedicaidTX

National Provider Directory

National Provider Directory

Locations

3430 W Wheatland Rd
Ste 119
Dallas, TX 75237
Phone (972) 296-5252

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1568603850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 W WHEATLAND RD",
            "address_2": "SUITE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373446",
            "telephone_number": "972-296-5252",
            "fax_number": "972-283-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 W WHEATLAND RD",
            "address_2": "SUITE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373446",
            "telephone_number": "972-296-5252",
            "fax_number": "972-283-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY K. LU, M.D.& ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "KIEN-TEH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-296-5252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126899701",
            "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 Sep 22, 2010; 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.