Organization Active NPI

P.C.Dutta,M.D.,P.a.

  • Allergy & Immunology Physician
  • Richardson, TX
National Provider Identifier
1659543312
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
E 7900 Issued in TX
Legal business name
P.C.DUTTA,M.D.,P.A.
Practice address
275 W Campbell Rd
Richardson, TX 75080-3601
Phone
(972) 238-9065
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Paritosh Chandra Dutta, M.D.
Title
President
Phone
(972) 238-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X E 7900 TX Primary

Addresses

Primary practice location

275 W Campbell Rd
Richardson, TX 75080-3601

Mailing address

275 W Campbell Rd
Richardson, TX 75080-3601
Phone (972) 238-9065

Other identifiers 5

IdentifierTypeStateIssuer
B87642OtherTXUPIN
8BC670OtherTXBCBS
2287642OtherTXBCBS BLUE LINK
4063099OtherTXAETNA
2892757001OtherTXCIGNA PAL

National Provider Directory

National Provider Directory

Locations

16901 Dallas Pkwy
Ste 206
Addison, TX 75001
Phone (214) 233-3094

275 W Campbell Rd
Richardson, TX 75080
Phone (817) 939-6308

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1659543312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803601",
            "telephone_number": "972-238-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803601",
            "telephone_number": "972-238-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.C.DUTTA,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "DUTTA",
        "authorized_official_first_name": "PARITOSH",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-238-9065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "E 7900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B87642",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BC670",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK",
            "identifier": "2287642",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4063099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL",
            "identifier": "2892757001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.