Organization Active NPI

J a Bianco D O P a

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1629309026
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D8661 Issued in TX
Legal business name
J A BIANCO D O P A
Practice address
2909 S Hampton Rd
Ste C108
Dallas, TX 75224-3000
Phone
(214) 339-2153
Fax
(214) 751-2167
NPI assigned
Jan 25, 2010
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Joseph A Bianco, DO
Title
Physician
Phone
(214) 339-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D8661 TX Primary

Addresses

Primary practice location

2909 S Hampton Rd
Ste C108
Dallas, TX 75224-3000

Mailing address

2909 S Hampton Rd
Ste C108
Dallas, TX 75224-3049
Phone (214) 339-2153

Other identifiers 1

IdentifierTypeStateIssuer
031873501MedicaidTX

National Provider Directory

National Provider Directory

Locations

2909 S Hampton Rd
Ste C108
Dallas, TX 75224
Phone (214) 339-2153

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1629309026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD",
            "address_2": "STE C108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243049",
            "telephone_number": "214-339-2153",
            "fax_number": "214-751-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD",
            "address_2": "STE C108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243000",
            "telephone_number": "214-339-2153",
            "fax_number": "214-751-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J A BIANCO D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BIANCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-339-2153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D8661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031873501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 7, 2012; 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.