Individual provider Active NPI

Andrew Travis Cole, M.D, M.P.H.

  • Occupational Medicine Physician
  • Dallas, TX
National Provider Identifier
1568652964
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
H1054 Issued in TX
Practice address
17804 Cedar Creek Canyon Dr
Dallas, TX 75252-4947
Phone
(972) 447-0054
Fax
(972) 735-9121
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X H1054 TX Primary
Urology Physician 208800000X H1054 TX

Addresses

Primary practice location

17804 Cedar Creek Canyon Dr
Dallas, TX 75252-4947

Mailing address

17804 Cedar Creek Canyon Dr
Dallas, TX 75252-4947
Phone (972) 447-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H1054TXMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1568652964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17804 CEDAR CREEK CANYON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524947",
            "telephone_number": "972-447-0054",
            "fax_number": "972-735-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17804 CEDAR CREEK CANYON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524947",
            "telephone_number": "972-447-0054",
            "fax_number": "972-735-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ANDREW",
        "middle_name": "TRAVIS",
        "credential": "M.D, M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "H1054",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H1054",
            "primary": false
        }
    ],
    "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 Jul 31, 2007; 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.