Organization Active NPI

Complete Family Medicine, P.a

  • Family Medicine Physician
  • Dumas, TX
National Provider Identifier
1710013669
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE FAMILY MEDICINE, P.A
Practice address
419 E 1St St
Dumas, TX 79029-3201
Phone
(806) 934-0555
Fax
(806) 935-4600
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Pramoda K Mohapatra, M.D.
Title
Medical Doctor
Phone
(806) 934-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

419 E 1St St
Dumas, TX 79029-3201

Mailing address

419 E 1St St
Dumas, TX 79029-3201
Phone (806) 934-0555

National Provider Directory

National Provider Directory

Locations

419 E 1st St
Dumas, TX 79029
Phone (806) 934-0555

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1710013669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293201",
            "telephone_number": "806-934-0555",
            "fax_number": "806-935-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293201",
            "telephone_number": "806-934-0555",
            "fax_number": "806-935-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY MEDICINE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "MOHAPATRA",
        "authorized_official_first_name": "PRAMODA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "806-934-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.