NPIMap

Organization Active NPI

City Doc Uptown Urgent Care Center, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1679686349
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITY DOC UPTOWN URGENT CARE CENTER, PLLC
Practice address
2909 McKinney Ave
Suit B
Dallas, TX 75204-2412
Phone
(214) 871-7000
Fax
(214) 871-7020
NPI assigned
Aug 16, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Kyle Delp
Title
Administrator
Phone
(214) 871-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2909 McKinney Ave
Suit B
Dallas, TX 75204-2412

Mailing address

2909 McKinney Ave
Dallas, TX 75204-4713
Phone (214) 871-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120706000341 TX Part B Supplier - Clinic/Group Practice 8729243274 Receives reassigned benefits from 62 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

2909 McKinney Ave
Dallas, TX 75204
Phone (214) 871-7000

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1679686349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044713",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MCKINNEY AVE",
            "address_2": "SUIT B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042412",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DOC UPTOWN URGENT CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "DELP",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-871-7000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.