Organization Active NPI

Benzel C Macmaster MD PA

  • Preferred Provider Organization
  • Dallas, TX
National Provider Identifier
1679803902
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
F6019 Issued in TX
Legal business name
BENZEL C MACMASTER MD PA
Practice address
8220 Walnut Hill LN
Suite 310
Dallas, TX 75231-4427
Phone
(214) 691-7077
Fax
(214) 692-8421
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Jo Hunt
Title
Office Manager
Phone
(214) 691-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X F6019 TX Primary

Addresses

Primary practice location

8220 Walnut Hill LN
Suite 310
Dallas, TX 75231-4427

Mailing address

8220 Walnut Hill LN
Suite 310
Dallas, TX 75231-4427
Phone (214) 691-7077

Other identifiers 1

IdentifierTypeStateIssuer
P000J86N4MedicaidTX

National Provider Directory

National Provider Directory

Locations

8220 Walnut Hill Ln
Ste 310
Dallas, TX 75231
Phone (214) 691-7077

Interoperability endpoints

  • Direct secure messaging: bluebutton@bcmm.ce.directmessaging.net

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1679803902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-691-7077",
            "fax_number": "214-692-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-691-7077",
            "fax_number": "214-692-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZEL C MACMASTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-691-7077"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "F6019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000J86N4",
            "state": "TX"
        }
    ],
    "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 Jan 8, 2010; 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.