Organization Active NPI

Innovative Medical Solutions Inc

Doing business as Advanced Hemorrhoid solutions

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1629254503
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M1979 Issued in TX
Legal business name
INNOVATIVE MEDICAL SOLUTIONS INC
Doing business as
Advanced Hemorrhoid solutions
Practice address
8616 Greenville Ave Ste 100
Dallas, TX 75243-7166
Phone
(214) 272-9710
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Dr. Quan Nguyen, MD
Title
Ceo
Phone
(972) 897-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X M1979 TX Primary

Addresses

Primary practice location

8616 Greenville Ave Ste 100
Dallas, TX 75243-7166

Mailing address

PO Box 802021
Dallas, TX 75380-2021
Phone (972) 770-2860

Other identifiers 1

IdentifierTypeStateIssuer
00Z401MedicaidTX

Other names 1

  • Advanced Hemorrhoid solutions Doing business as

National Provider Directory

National Provider Directory

Locations

13601 Preston Rd
Ste 615W
Dallas, TX 75240

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1629254503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802021",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753802021",
            "telephone_number": "972-770-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 GREENVILLE AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437166",
            "telephone_number": "214-272-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-897-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "M1979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00Z401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hemorrhoid solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.