Organization Active NPI

Plano Neovascular Interventional Group PLLC

  • Interventional Cardiology Physician
  • Plano, TX
National Provider Identifier
1699241372
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
PLANO NEOVASCULAR INTERVENTIONAL GROUP PLLC
Practice address
6800 Preston Rd Ste 100
Plano, TX 75024-2505
Phone
(214) 808-2218
NPI assigned
Oct 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Gaurav Gupta, MD
Title
Member
Phone
(214) 732-5813

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

6800 Preston Rd Ste 100
Plano, TX 75024-2505

Mailing address

PO Box 797007
Dallas, TX 75379-7007
Phone (214) 732-5813

National Provider Directory

National Provider Directory

Locations

6800 Preston Rd
Ste 100
Plano, TX 75024
Phone (214) 808-2218

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1699241372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797007",
            "telephone_number": "214-732-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PRESTON RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242505",
            "telephone_number": "214-808-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO NEOVASCULAR INTERVENTIONAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-732-5813",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.