Organization Active NPI

Sapna Jaiswal MD PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1578745113
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9745 Issued in TX
Legal business name
SAPNA JAISWAL MD PA
Practice address
5959 Harry Hines Blvd
Ste 200
Dallas, TX 75235-6234
Phone
(214) 393-2940
Fax
(214) 393-2945
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Sapna Jaiswal, MDNPI 1881672749
Title
Ceo
Phone
(214) 393-2940

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L9745 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Ste 200
Dallas, TX 75235-6234

Mailing address

5959 Harry Hines Blvd
Ste 200
Dallas, TX 75235-6234
Phone (214) 393-2940

Other identifiers 1

IdentifierTypeStateIssuer
I41547OtherTXUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000517 TX Part B Supplier - Clinic/Group Practice 1153356217 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

5959 Harry Hines Blvd
Ste 200
Dallas, TX 75235
Phone (214) 393-2940

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1578745113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-393-2940",
            "fax_number": "214-393-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-393-2940",
            "fax_number": "214-393-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPNA JAISWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-393-2940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I41547",
            "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 Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.