Individual provider Active NPI

Allan Joel Chernov, M.D.

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1720265259
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3263 Issued in TX
Practice address
901 S Central Expy
North Building, Mail Stop E
Richardson, TX 75080-7302
Phone
(972) 766-1149
Fax
(972) 766-5559
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3263 TX Primary

Addresses

Primary practice location

901 S Central Expy
North Building, Mail Stop E
Richardson, TX 75080-7302

Mailing address

901 S Central Expy
North Building, Mail Stop E
Richardson, TX 75080-7302
Phone (972) 766-1149

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3263TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1720265259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S CENTRAL EXPY",
            "address_2": "NORTH BUILDING, MAIL STOP E",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807302",
            "telephone_number": "972-766-1149",
            "fax_number": "972-766-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S CENTRAL EXPY",
            "address_2": "NORTH BUILDING, MAIL STOP E",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807302",
            "telephone_number": "972-766-1149",
            "fax_number": "972-766-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOV",
        "first_name": "ALLAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.