Organization Active NPI

Knox Medical Group PA

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1659716371
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KNOX MEDICAL GROUP PA
Practice address
3109 Knox St
Suite 747
Dallas, TX 75205-4029
Phone
(214) 960-3828
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Tammy Carpenter
Title
Office Manager
Phone
(214) 960-3828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

3109 Knox St
Suite 747
Dallas, TX 75205-4029

Mailing address

3109 Knox St
Suite 747
Dallas, TX 75205-4029

National Provider Directory

National Provider Directory

Locations

3109 Knox St
Ste 747
Dallas, TX 75205
Phone (214) 960-3828

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1659716371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KNOX ST",
            "address_2": "SUITE 747",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 KNOX ST",
            "address_2": "SUITE 747",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054029",
            "telephone_number": "214-960-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-960-3828"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 8, 2013; 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.