Active NPI
White Rock Pulmonary Associates, P.a.
- Pulmonary Disease Physician
- Dallas, TX
National Provider Identifier
1790718484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- J5758
- Legal business name
- WHITE ROCK PULMONARY ASSOCIATES, P.A.
- Practice address
- 9330 Poppy Drive
Suite #407
Dallas, TX 75218-3403 - Phone
- (214) 328-5487
- Fax
- (214) 328-0419
- NPI assigned
- Jul 8, 2006
- 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
- Mr. Mark C. Ferris, M.D.
- Title
- President
- Phone
- (214) 328-5487
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | J5758 | TX | |
| Pulmonary Disease Physician | 207RP1001X | |||
| Pulmonary Disease Physician | 207RP1001X | J5758 | TX | Primary |
Addresses
Primary practice location
9330 Poppy Drive
Suite #407
Dallas, TX 75218-3403
Mailing address
9330 Poppy Drive
Suite #407
Dallas, TX 75218-3403
Phone (214) 328-5487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079894401 | Medicaid | TX | |
| 115596203 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
9330 Poppy Dr
Ste 407
Dallas, TX 75218
Phone (214) 328-5487
9330 Poppy Dr
Ste 4
Dallas, TX 75218
Phone (214) 328-5487
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Dallas, TX
- NPI 1881611366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1790718484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 POPPY DRIVE",
"address_2": "SUITE #407",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183403",
"telephone_number": "214-328-5487",
"fax_number": "214-328-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 POPPY DRIVE",
"address_2": "SUITE #407",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183403",
"telephone_number": "214-328-5487",
"fax_number": "214-328-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE ROCK PULMONARY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "FERRIS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-328-5487",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "J5758",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "J5758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079894401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115596203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- White Rock OB/GYN, PLLC
- White Rock Obstetrics and Gynecology Associates
- White Rock Open Air MRI LLC
- White Rock Orthopedic Association
- White Rock Psychiatric and Psychotherapy Services
- White Rock Pulmonary, PLLC
- White Rock Radiology Associates, L.L.P.
- Delana White-Carter, LCSW
- Colin Garrett White-Dzuro, MD
- Sheila L. White-Jackson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.