NPIMap

Organization Active NPI

Donald M Mauldin, MD, Assoc

  • Specialist
  • Dallas, TX
National Provider Identifier
1649321571
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2708 Issued in TX
Legal business name
DONALD M MAULDIN, MD, ASSOC
Practice address
5920 Forest Park Rd
Ste 600
Dallas, TX 75235-6411
Phone
(214) 902-1440
Fax
(214) 902-1593
NPI assigned
Jan 16, 2007
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Donald M Mauldin, MD
Title
Medical Doctor
Phone
(972) 991-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E2708 TX Primary

Addresses

Primary practice location

5920 Forest Park Rd
Ste 600
Dallas, TX 75235-6411

Mailing address

PO Box 617
Addison, TX 75001-0617
Phone (972) 991-9950

Other identifiers 2

IdentifierTypeStateIssuer
0096QVOtherTXBCBS
200043244OtherTXRR MEDICARE

National Provider Directory

National Provider Directory

Locations

18352 Dallas Pkwy
Ste 136
Dallas, TX 75287

Practitioners & affiliated clinicians

Practitioners 5

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1649321571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750010617",
            "telephone_number": "972-991-9950",
            "fax_number": "972-991-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411",
            "telephone_number": "214-902-1440",
            "fax_number": "214-902-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M MAULDIN, MD, ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "972-991-9950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E2708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0096QV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200043244",
            "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 Jul 13, 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.