NPIMap

Organization Active NPI

North Dallas Retina, PA

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1639317431
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F6807 Issued in TX
Legal business name
NORTH DALLAS RETINA, PA
Practice address
10740 N Central Expy
Suite 100
Dallas, TX 75231-2162
Phone
(214) 361-6700
Fax
(214) 361-6701
NPI assigned
Feb 2, 2009
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Bradley F Jost, MDNPI 1386644391
Title
President
Phone
(214) 553-9524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F6807 TX Primary

Addresses

Primary practice location

10740 N Central Expy
Suite 100
Dallas, TX 75231-2162

Mailing address

PO Box 671541
Dallas, TX 75267-1541
Phone (214) 553-9524

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1639317431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671541",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671541",
            "telephone_number": "214-553-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312162",
            "telephone_number": "214-361-6700",
            "fax_number": "214-361-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS RETINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "JOST",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-553-9524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 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.