Individual provider Active NPI

John Craig Billinghurst, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1740558923
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F0885 Issued in TX
Practice address
9107 Church Rd
Dallas, TX 75231-4851
Phone
(214) 732-6392
NPI assigned
Dec 2, 2011
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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 F0885 TX Primary

Addresses

Primary practice location

9107 Church Rd
Dallas, TX 75231-4851

Mailing address

9107 Church Rd
Dallas, TX 75231-4851
Phone (214) 732-6392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000304 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5799084299

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1740558923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 CHURCH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314851",
            "telephone_number": "214-732-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 CHURCH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314851",
            "telephone_number": "214-732-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGHURST",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F0885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.