Individual provider Active NPI

Amanvir Dhanoa

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1588064497
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132811 Issued in TX
Practice address
3133 E Lemmon Ave
Dallas, TX 75204-1411
Phone
(124) 159-9210
NPI assigned
Aug 27, 2014
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132811 TX Primary

Addresses

Primary practice location

3133 E Lemmon Ave
Dallas, TX 75204-1411

Mailing address

7355 Clemintine Ave
Irving, TEXAS 75063
UM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170315002360 TX Practitioner - Nurse Practitioner 9133349988 Reassigns benefits to 2 organizations
I20230413002202 IN Practitioner - Nurse Practitioner 9133349988 Reassigns benefits to 1 organization
I20230417001853 TN Practitioner - Nurse Practitioner 9133349988

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Feb 24, 2017 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Feb 24, 2017 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Feb 10, 2023 Accepting new patients

Locations

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

3133 E Lemmon Ave
Dallas, TX 75204
Phone (214) 599-2018

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1588064497",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7355 CLEMINTINE AVE",
            "city": "IRVING",
            "state": "TEXAS",
            "postal_code": "75063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 E LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041411",
            "telephone_number": "124-159-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANOA",
        "first_name": "AMANVIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.