Organization Active NPI

Cancer Center Associates

  • Specialist
  • Mesquite, TX
National Provider Identifier
1609195049
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CANCER CENTER ASSOCIATES
Practice address
2540 N Galloway Ave
304
Mesquite, TX 75150-6306
Phone
(214) 424-3613
Fax
(214) 905-7550
NPI assigned
May 25, 2010
Organization subpart
Yes
Parent organization
CANCER CENTER ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Amanullah Khan, M.D.
Title
President
Phone
(214) 424-3613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2540 N Galloway Ave
304
Mesquite, TX 75150-6306

Mailing address

2540 N Galloway Ave BLDG 3
304
Mesquite, TX 75150-6306
Phone (214) 424-3613

Other identifiers 1

IdentifierTypeStateIssuer
083503501MedicaidTX

National Provider Directory

National Provider Directory
Part of
Cancer Center Associates

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1609195049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE BLDG 3",
            "address_2": "304",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "214-424-3613",
            "fax_number": "214-905-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "304",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "214-424-3613",
            "fax_number": "214-905-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANCER CENTER ASSOCIATES",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMANULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-424-3613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083503501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.