Individual provider Active NPI

Christina Huddleston, M.D.

  • Allergy Physician
  • Dallas, TX
National Provider Identifier
1598110462
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
S9521 Issued in TX
Practice address
8220 Walnut Hill LN Ste 101
Dallas, TX 75231-4416
Phone
(214) 369-1901
Fax
(214) 369-1905
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X S9521 TX Primary

Addresses

Primary practice location

8220 Walnut Hill LN Ste 101
Dallas, TX 75231-4416

Mailing address

705 Riley Hospital Dr RM 5867
Indianapolis, IN 46202-5109

Other practice location 1

4708 Alliance Blvd Ste 485
Plano, TX 75093-5337
Phone (972) 596-4383

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
I20210804001780 TX Practitioner - Allergy/Immunology 8123318631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep Gupta, MD, PAGroup PAC ID 2365411741, 10 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383

8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9521TXMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA Allergy CurrentSince Sep 1, 2021 Accepting new patients
University Pediatric Associates, Inc. Past Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707

2005 W Park Dr
Ste 210
Irving, TX 75061

4708 Alliance Blvd
Ste 485
Plano, TX 75093
Phone (214) 997-4170

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

Interoperability endpoints

  • Direct secure messaging: chuddleston@direct.iuhealth.org

Organizations & group practices 2

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1598110462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR RM 5867",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314416",
            "telephone_number": "214-369-1901",
            "fax_number": "214-369-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4708 Alliance Blvd Ste 485",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935337",
            "country_code": "US",
            "telephone_number": "972-596-4383",
            "fax_number": "214-369-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "S9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.