Organization Active NPI

Highland Village Primary Care, P.a.

  • Primary Care Clinic/Center
  • Highland Village, TX
National Provider Identifier
1730292830
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K0859 Issued in TX
Legal business name
HIGHLAND VILLAGE PRIMARY CARE, P.A.
Practice address
2016 Justin Rd
Suite 370
Highland Village, TX 75077-7161
Phone
(972) 966-2525
Fax
(972) 966-1359
NPI assigned
Aug 16, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Rominder Kaur, MDNPI 1902899396
Title
Owner
Phone
(972) 966-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K0859 TX Primary

Addresses

Primary practice location

2016 Justin Rd
Suite 370
Highland Village, TX 75077-7161

Mailing address

2016 Justin Rd
Suite 370
Highland Village, TX 75077-7161
Phone (972) 966-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000942 TX Part B Supplier - Clinic/Group Practice 6800082413 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Village, TX

National Provider Directory

National Provider Directory

Locations

2016 Justin Rd
Ste 370
Lewisville, TX 75077
Phone (972) 966-2525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1730292830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 JUSTIN RD",
            "address_2": "SUITE 370",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777161",
            "telephone_number": "972-966-2525",
            "fax_number": "972-966-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 JUSTIN RD",
            "address_2": "SUITE 370",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777161",
            "telephone_number": "972-966-2525",
            "fax_number": "972-966-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND VILLAGE PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "ROMINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-966-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K0859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.