Active NPI
Antonio Roman, MD, PA
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1750562237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J7286
- Legal business name
- ANTONIO ROMAN, MD, PA
- Practice address
- 6116 N Central Expy
Suite 915
Dallas, TX 75206-5162 - Phone
- (214) 969-2953
- Fax
- (214) 363-2899
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Roman, MD
- Title
- President
- Phone
- (214) 969-2953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J7286 | TX | Primary |
Addresses
Primary practice location
6116 N Central Expy
Suite 915
Dallas, TX 75206-5162
Mailing address
110 W Sandy Lake Rd Ste 102
Coppell, TX 75019-2529
Phone (972) 315-5249
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8C6525 | Other | MEDICARE | |
| 00437X | Other | MEDICARE GROUP | |
| 168921801 | Other | TX | MEDICAID GROUP |
| 1124009543 | Other | TX | ANTONIO ROMAN INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
110 W Sandy Lake Rd
Ste 102
Coppell, TX 75019
Phone (214) 671-8530
6116 N Central Expy
Ste 915
Dallas, TX 75206
Phone (214) 363-2953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219881600000",
"number": "1750562237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W SANDY LAKE RD STE 102",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192529",
"telephone_number": "972-315-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 N CENTRAL EXPY",
"address_2": "SUITE 915",
"city": "DALLAS",
"state": "TX",
"postal_code": "752065162",
"telephone_number": "214-969-2953",
"fax_number": "214-363-2899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTONIO ROMAN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2008-08-28",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-969-2953",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J7286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8C6525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00437X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "168921801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTONIO ROMAN INDIVIDUAL NPI",
"identifier": "1124009543",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.