Active NPI
Benzel C Macmaster MD PA
- Preferred Provider Organization
- Dallas, TX
National Provider Identifier
1679803902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- F6019
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000J86N4 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
8220 Walnut Hill Ln
Ste 310
Dallas, TX 75231
Phone (214) 691-7077
Interoperability endpoints
- 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.