Organization Active NPI

Kristen Casenave, MD, PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1568657138
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KRISTEN CASENAVE, MD, PA
Practice address
12221 Merit Dr Ste 460
Dallas, TX 75251-2245
Phone
(469) 374-3850
Fax
(469) 374-3851
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Kristen Casenave, M.D.
Title
Owner
Phone
(469) 374-3850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12221 Merit Dr Ste 460
Dallas, TX 75251-2245

Mailing address

12221 Merit Dr Ste 460
Dallas, TX 75251-2245
Phone (469) 374-3850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1568657138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512245",
            "telephone_number": "469-374-3850",
            "fax_number": "469-374-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512245",
            "telephone_number": "469-374-3850",
            "fax_number": "469-374-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN CASENAVE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "CASENAVE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-374-3850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "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 Sep 7, 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.