Organization Active NPI

Dennis D Obanion MD

  • Clinic/Center
  • Texarkana, TX
National Provider Identifier
1699287094
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DENNIS D OBANION MD
Practice address
1801 Galleria Oaks Dr
Texarkana, TX 75503-4616
Phone
(903) 614-4200
Fax
(903) 614-4244
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Sharleen Keahey
Title
Billing Manager
Phone
(903) 614-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1801 Galleria Oaks Dr
Texarkana, TX 75503-4616

Mailing address

2604 Saint Michael Dr Ste 239
Texarkana, TX 75503-2378
Phone (903) 614-5355

Other practice location 1

1902 Moores Ln
Texarkana, TX 75503-4610
Phone (903) 792-2108

Other practice location 2

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1699287094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 239",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5355",
            "fax_number": "903-614-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034616",
            "telephone_number": "903-614-4200",
            "fax_number": "903-614-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Moores Ln",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034610",
            "country_code": "US",
            "telephone_number": "903-792-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 S William St",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "TX",
            "postal_code": "755513245",
            "country_code": "US",
            "telephone_number": "903-799-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENNIS D OBANION MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KEAHEY",
        "authorized_official_first_name": "SHARLEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "903-614-5355"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.