C. Cordell Adams MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

H2202 Issued in TX

Legal business name

C. CORDELL ADAMS MD PA

Practice address

712 N Washington Ave Ste 415
Dallas, TX 75246-1634

Phone

(214) 826-7231

Fax

(214) 826-7984

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Cedric Cordell Adams, M.D.NPI 1285727099

Title

Owner/Physician

Phone

(214) 826-7231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cedric Cordell Adams, MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285727099
  Medicare reassignment NPD Authorized official
• Gina Nhu Pham

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1245851492

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1689822744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461634",
            "telephone_number": "214-826-7231",
            "fax_number": "214-826-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461634",
            "telephone_number": "214-826-7231",
            "fax_number": "214-826-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. CORDELL ADAMS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "CORDELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "214-826-7231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "H2202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033973101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Lee Group LLC
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• C M Medical Equipment
• C. D. Demarque, MD, PA
• C. Gilbert Falke, M.D. and Associates
• C.C. Young Memorial Home
• C.C. Young Memorial Home
• C.E.Yates Enterprises LLC

• Medical Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.