Organization Active NPI

Comprehensive Cardiac & Vascular Interventional Group

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1649457664
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COMPREHENSIVE CARDIAC & VASCULAR INTERVENTIONAL GROUP
Practice address
221 W Colorado Blvd
Suite 933
Dallas, TX 75208-2363
Phone
(214) 946-9898
Fax
(214) 946-7332
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. George Mark Jenkins, M.D.
Title
Member
Phone
(214) 946-9898

Specialties & licenses 1

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

Addresses

Primary practice location

221 W Colorado Blvd
Suite 933
Dallas, TX 75208-2363

Mailing address

221 W Colorado Blvd
Suite 933
Dallas, TX 75208-2363
Phone (214) 946-9898

Other identifiers 1

IdentifierTypeStateIssuer
0095QWOtherUTBCBS

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 933
Dallas, TX 75208
Phone (214) 941-7200

221 W Colorado Blvd
Ste 730
Dallas, TX 75208
Phone (214) 941-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1649457664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "SUITE 933",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-946-9898",
            "fax_number": "214-946-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "SUITE 933",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-946-9898",
            "fax_number": "214-946-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIAC & VASCULAR INTERVENTIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-946-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0095QW",
            "state": "UT"
        }
    ],
    "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 Aug 30, 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.