Primary Care Doctors of North Texas PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE DOCTORS OF NORTH TEXAS PLLC

Practice address

4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 75052-3000

Phone

(972) 217-4203

Fax

(833) 784-1531

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Chaitanya Chavda, MDNPI 1710160692

Title

Manager

Phone

(313) 505-2932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25382/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwatosin B Ajibola

  • Family Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1063230464

  TX

  Medicare reassignment NPD
• Judy Ann Dao

  • Family Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1104507391

  Single Specialty, TX

  Medicare reassignment NPD
• Pannaben H Nangha, MD

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1699958579

  Family Medicine, TX

  Medicare reassignment NPD
• Bhumiben Meet Patel

  • Family Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1194544767

  TX

  Medicare reassignment NPD
• Chaitanya B Chavda, MD

  • Neonatal-Perinatal Medicine Physician
  • Grand Prairie, TX
  • NPI 1710160692
  NPD Authorized official
• Jacqueline Linville

  • Family Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1275496580

  TX

  Medicare reassignment

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1760147490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 148",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523000",
            "telephone_number": "972-217-4203",
            "fax_number": "833-784-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 148",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523000",
            "telephone_number": "972-217-4203",
            "fax_number": "833-784-1531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Regency Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635379",
            "country_code": "US",
            "telephone_number": "817-634-7670",
            "fax_number": "833-784-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE DOCTORS OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "CHAVDA",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-505-2932",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prime Dental
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• Primeway Consulting LLC

• All providers in Grand Prairie, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.