NPIMap

Organization Active NPI

DMD Stonebrook, PLLC

Doing business as Driven Healthcare Concierge Care Center

  • Urgent Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1699340406
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DMD STONEBROOK, PLLC
Doing business as
Driven Healthcare Concierge Care Center
Practice address
2772 Stonebrook Pkwy Ste 100
Frisco, TX 75034-1582
Phone
(469) 902-9200
Fax
(214) 975-2429
NPI assigned
May 24, 2021
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Carrie De Moor, MDNPI 1922292754
Title
President
Phone
(214) 494-0177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2772 Stonebrook Pkwy Ste 100
Frisco, TX 75034-1582

Mailing address

2772 Stonebrook Pkwy Ste 100
Frisco, TX 75034-1582
Phone (469) 902-9200

Other names 1

  • Driven Healthcare Concierge Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006001955 TX Part B Supplier - Clinic/Group Practice 8729486782 Receives reassigned benefits from 9 practitioners
Practice locations: Frisco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2235497DMD Stonebrook, PLLC2772 Stonebrook Pkwy Suite 100, Frisco, TX 75034Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

2772 Stonebrook Pkwy
Frisco, TX 75034
Phone (469) 902-9200

2772 Stonebrook Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 902-9200

Practitioners & affiliated clinicians

Practitioners 10

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": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1699340406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 STONEBROOK PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341582",
            "telephone_number": "469-902-9200",
            "fax_number": "214-975-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 STONEBROOK PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341582",
            "telephone_number": "469-902-9200",
            "fax_number": "214-975-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMD STONEBROOK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-494-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Driven Healthcare Concierge Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Driven Healthcare Concierge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.