Individual provider Active NPI

Kwan K Oei, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1720071434
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F2828 Issued in TX
Practice address
3110 Greene Ave
Fort Worth, TX 76109-2318
Phone
(817) 926-3309
Fax
(817) 921-6844
NPI assigned
Aug 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F2828 TX Primary

Addresses

Primary practice location

3110 Greene Ave
Fort Worth, TX 76109-2318

Mailing address

3110 Greene Ave
Fort Worth, TX 76109-2318
Phone (817) 926-3309

Other identifiers 1

IdentifierTypeStateIssuer
099397403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1720071434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GREENE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092318",
            "telephone_number": "817-926-3309",
            "fax_number": "817-921-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GREENE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092318",
            "telephone_number": "817-926-3309",
            "fax_number": "817-921-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEI",
        "first_name": "KWAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-27",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F2828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099397403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.