Individual provider Active NPI

Renato Deperalta Pinzon, M.D

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1609924166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9700 Issued in TX
Practice address
1927 E Belt Line Rd
Suite 146
Carrollton, TX 75006-5821
Phone
(214) 731-3027
Fax
(214) 731-3033
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 H9700 TX Primary

Addresses

Primary practice location

1927 E Belt Line Rd
Suite 146
Carrollton, TX 75006-5821

Mailing address

1927 E Belt Line Rd
Suite 146
Carrollton, TX 75006-5821
Phone (214) 731-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9700TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609924166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "SUITE 146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "214-731-3027",
            "fax_number": "214-731-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "SUITE 146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "214-731-3027",
            "fax_number": "214-731-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZON",
        "first_name": "RENATO",
        "middle_name": "DEPERALTA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.