Organization Active NPI

Douglas T Stafford DO PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1801072061
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3909 Issued in TX
Legal business name
DOUGLAS T STAFFORD DO PA
Practice address
8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432
Phone
(214) 265-1001
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Douglas T Stafford, D.O.
Title
President
Phone
(214) 265-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J3909 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432

Mailing address

8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432
Phone (214) 265-1001

Other identifiers 2

IdentifierTypeStateIssuer
00419VOtherTXMEDICARE GROUP
D94027OtherTXUPIN

National Provider Directory

National Provider Directory

Locations

8230 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 361-0946

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1801072061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314432",
            "telephone_number": "214-265-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314432",
            "telephone_number": "214-265-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS T STAFFORD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-265-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00419V",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D94027",
            "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 Jun 30, 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.

Verify at the official NPI Registry.