NPIMap

Organization Active NPI

Dakota Medical Associates

  • Family Medicine Physician
  • Wylie, TX
National Provider Identifier
1710072814
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3129 Issued in TX
Legal business name
DAKOTA MEDICAL ASSOCIATES
Practice address
791 S Hwy 78
Wylie, TX 75098
Phone
(972) 429-4553
Fax
(972) 429-4233
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Steven George Bander, DO
Title
Clinic Director
Phone
(972) 429-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G3129 TX Primary

Addresses

Primary practice location

791 S Hwy 78
Wylie, TX 75098

Mailing address

791 S Hwy 78
Wylie, TX 75098-4004
Phone (972) 429-4553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1710072814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 S HWY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984004",
            "telephone_number": "972-429-4553",
            "fax_number": "972-429-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 S HWY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-429-4553",
            "fax_number": "972-429-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "BANDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "972-429-4553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.