Mitchell Huebner, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MITCHELL HUEBNER, MD

Practice address

5477 Glen Lakes Dr Ste 100
Dallas, TX 75231-4381

Phone

(214) 361-2277

Fax

(214) 361-2273

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Mitchell Lee Huebner, MDNPI 1215938071

Title

Owner

Phone

(214) 361-2277

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

Practitioners 1

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

• Mitchell Lee Huebner, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1215938071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1801436753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314381",
            "telephone_number": "214-361-2277",
            "fax_number": "214-361-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314381",
            "telephone_number": "214-361-2277",
            "fax_number": "214-361-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5477 Glen Lakes Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310977",
            "country_code": "US",
            "telephone_number": "214-361-2277 x21436",
            "fax_number": "214-361-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MITCHELL HUEBNER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "HUEBNER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-361-2277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission East Dallas and Metroplex Project, Inc.
• Missouri Outpatient Services PC
• Faithe Rhiannon Mistretta-Hamilton, MSW, LCSW
• Divya Jitendra Mistry, OD
• Sachi Mistry, MD
• George James Mitchell-Tapping, M.D.
• Naima Mitchell-Turner, RN
• Aaron Mitchell
• Andrew Mitchell
• Bartley David Mitchell, MD

• Primary Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.