Organization Active NPI

Trina Bivens MD PA

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1578740486
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K3557 Issued in TX
Legal business name
TRINA BIVENS MD PA
Practice address
7515 Greenville Ave Ste 503
Dallas, TX 75231
Phone
(214) 345-5165
Fax
(214) 345-5767
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Ms. Melissa Lashawn Boyd
Title
Account Manager
Phone
(214) 345-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X K3557 TX Primary

Addresses

Primary practice location

7515 Greenville Ave Ste 503
Dallas, TX 75231

Mailing address

7515 Greenville Ave Ste 503
Dallas, TX 75231-3865
Phone (214) 345-5765

Other identifiers 1

IdentifierTypeStateIssuer
0016MQOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1578740486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE STE 503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313865",
            "telephone_number": "214-345-5765",
            "fax_number": "214-345-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE STE 503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-345-5165",
            "fax_number": "214-345-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA BIVENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "214-345-6256",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K3557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0016MQ",
            "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 Feb 15, 2008; 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.