Organization Active NPI

Richard K Cardenas, MD

  • Obstetrics & Gynecology Physician
  • Weatherford, TX
National Provider Identifier
1588982201
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G2525 Issued in TX
Legal business name
RICHARD K CARDENAS, MD
Practice address
1429 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5805
Phone
(817) 598-1015
Fax
(817) 599-3624
NPI assigned
May 5, 2010
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Carrie Smith
Title
Account Manager
Phone
(972) 701-8826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G2525 TX Primary

Addresses

Primary practice location

1429 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5805

Mailing address

1429 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5805
Phone (817) 598-1015

Other identifiers 1

IdentifierTypeStateIssuer
097891801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1588982201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865805",
            "telephone_number": "817-598-1015",
            "fax_number": "817-599-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865805",
            "telephone_number": "817-598-1015",
            "fax_number": "817-599-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K CARDENAS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "972-701-8826"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G2525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097891801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.