Organization Active NPI

Larry Poliner, MD, PA

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1649451014
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E5206 Issued in TX
Legal business name
LARRY POLINER, MD, PA
Practice address
7777 Forest LN Ste C600
Dallas, TX 75230-2517
Phone
(972) 566-8477
Fax
(972) 566-8488
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Lawrence R Poliner, MD
Title
President
Phone
(972) 566-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X E5206 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C600
Dallas, TX 75230-2517

Mailing address

7777 Forest LN Ste C600
Dallas, TX 75230-2517
Phone (972) 566-8477

Other identifiers 1

IdentifierTypeStateIssuer
1649451014OtherTXNPI

National Provider Directory

National Provider Directory

Locations

3900 W 15th St
Ste 305
Plano, TX 75075
Phone (917) 541-9112

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1649451014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302517",
            "telephone_number": "972-566-8477",
            "fax_number": "972-566-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302517",
            "telephone_number": "972-566-8477",
            "fax_number": "972-566-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY POLINER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "POLINER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-8477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E5206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649451014",
            "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 Jan 7, 2010; 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.