Organization Active NPI

Antonio Roman, MD, PA

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1750562237
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J7286 Issued in TX
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

Updated by the provider on Aug 28, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8C6525OtherMEDICARE
00437XOtherMEDICARE GROUP
168921801OtherTXMEDICAID GROUP
1124009543OtherTXANTONIO ROMAN INDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.