NPIMap

Individual provider Active NPI

Richard Jackson, MD

  • Emergency Medicine Physician
  • Southlake, TX
National Provider Identifier
1659328060
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K8228 Issued in TX
Practice address
505 Regency Xing
Southlake, TX 76092-9501
Phone
(817) 913-6144
NPI assigned
May 30, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K8228 TX Primary

Addresses

Primary practice location

505 Regency Xing
Southlake, TX 76092-9501

Mailing address

505 Regency Xing
Southlake, TX 76092-9501
Phone (817) 913-6144

Other identifiers 2

IdentifierTypeStateIssuer
8G7458OtherTXBCBS THRU HEB
P00374822OtherTXRAILROAD MCARE THRU HEB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000126 TX Practitioner - Emergency Medicine 0345154357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Frisco Emergency Medicine Associates PAGroup PAC ID 8921594300, 36 clinicians
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone (469) 312-7777

8950 N Tarrant Pkwy
North Richland Hills, TX 76182-8465
Phone (817) 281-7277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 10, 2025 Accepting new patients
Legacy Urgent Care, PA CurrentSince Sep 1, 2015 Accepting new patients
Southlake Emergicare PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Parallel Parkway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Grapevine Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Motley Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2810 S Hardin Blvd
Ste 1
McKinney, TX 75072
Phone (972) 548-7277

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1659328060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 REGENCY XING",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929501",
            "telephone_number": "817-913-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 REGENCY XING",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929501",
            "telephone_number": "817-913-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K8228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS THRU HEB",
            "identifier": "8G7458",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU HEB",
            "identifier": "P00374822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.