Organization Active NPI

Destra Diagnostics

  • Physician Office Based Coding Specialist
  • Coppell, TX
National Provider Identifier
1750747317
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician Office Based Coding SpecialistTaxonomy code 246YC3302X
License
P3183 Issued in TX
Legal business name
DESTRA DIAGNOSTICS
Practice address
469 Leisure LN
Coppell, TX 75019-2545
Phone
(972) 618-3785
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Jason Kouri, M.D.
Title
Owner
Phone
(972) 618-3785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Office Based Coding SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246YC3302X P3183 TX Primary

Addresses

Primary practice location

469 Leisure LN
Coppell, TX 75019-2545

Mailing address

469 Leisure LN
Coppell, TX 75019-2545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1750747317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 LEISURE LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 LEISURE LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192545",
            "telephone_number": "972-618-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTRA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "KOURI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-618-3785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": "TX",
            "license": "P3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.