Individual provider Active NPI

David S Gartenberg, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1588848840
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9650 Issued in TX
Practice address
4800 Hedgcoxe Rd
Suite 200
Plano, TX 75024-2403
Phone
(469) 800-6120
Fax
(469) 800-6129
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E9650 TX Primary

Addresses

Primary practice location

4800 Hedgcoxe Rd
Suite 200
Plano, TX 75024-2403

Mailing address

4800 Hedgcoxe Rd
Suite 200
Plano, TX 75024-2403
Phone (469) 800-6120

Other identifiers 2

IdentifierTypeStateIssuer
E9650OtherTXTEXAS MEDICAL LICENSE #
043644602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000543 TX Practitioner - Family Practice 0648333443 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Apr 19, 2011 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 1, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 19, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

5920 Forest Park Rd
Dallas, TX 75235
Phone (214) 266-0312

8194 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 645-3900

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4800 Hedgcoxe Rd
Ste 200
Plano, TX 75024
Phone (469) 800-6120

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1588848840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HEDGCOXE RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242403",
            "telephone_number": "469-800-6120",
            "fax_number": "469-800-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HEDGCOXE RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242403",
            "telephone_number": "469-800-6120",
            "fax_number": "469-800-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTENBERG",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE #",
            "identifier": "E9650",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043644602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.