Organization Active NPI

Concentra Primary Care PA

Doing business as Concentra Primary Care

  • Primary Care Clinic/Center
  • Addison, TX
National Provider Identifier
1780952622
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONCENTRA PRIMARY CARE PA
Doing business as
Concentra Primary Care
Practice address
15810 Midway Rd
Addison, TX 75001-4259
Phone
(972) 458-8111
Fax
(972) 458-7776
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Robert Hassett, DO
Title
President
Phone
(972) 364-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15810 Midway Rd
Addison, TX 75001-4259

Mailing address

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-4648

Other names 1

  • Concentra Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1780952622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 MIDWAY RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014259",
            "telephone_number": "972-458-8111",
            "fax_number": "972-458-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "HASSETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concentra Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.