Organization Active NPI

Ketaki B. Dave, M.D., P.a.

  • Hematology & Oncology Physician
  • Denton, TX
National Provider Identifier
1710124110
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
J1645 Issued in TX
Legal business name
KETAKI B. DAVE, M.D., P.A.
Practice address
3200 Colorado Blvd
Suite #101
Denton, TX 76210-6874
Phone
(940) 387-2555
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Ketaki B Dave, M.D.
Title
Owner
Phone
(940) 387-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X J1645 TX Primary

Addresses

Primary practice location

3200 Colorado Blvd
Suite #101
Denton, TX 76210-6874

Mailing address

3200 Colorado Blvd
Suite #101
Denton, TX 76210-6874
Phone (940) 387-2555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1710124110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COLORADO BLVD",
            "address_2": "SUITE #101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106874",
            "telephone_number": "940-387-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COLORADO BLVD",
            "address_2": "SUITE #101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106874",
            "telephone_number": "940-387-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAKI B. DAVE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "KETAKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-387-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.