Organization Active NPI

Desnak PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1801982228
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F6988 Issued in TX
Legal business name
DESNAK PA
Practice address
2909 S Hampton Rd Ste F228
Dallas, TX 75224-3056
Phone
(214) 371-2459
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Nalini M Naik
Title
President
Phone
(214) 371-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F6988 TX Primary

Addresses

Primary practice location

2909 S Hampton Rd Ste F228
Dallas, TX 75224-3056

Mailing address

2909 S Hampton Rd Ste F228
Dallas, TX 75224-3056
Phone (214) 371-2459

Other identifiers 2

IdentifierTypeStateIssuer
175808801MedicaidTX
175808802MedicaidTX

National Provider Directory

National Provider Directory

Locations

2909 S Hampton Rd
#27
Dallas, TX 75224
Phone (214) 371-2459

2909 S Hampton Rd
Ste F228
Dallas, TX 75224
Phone (214) 371-2459

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1801982228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD STE F228",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243056",
            "telephone_number": "214-371-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD STE F228",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243056",
            "telephone_number": "214-371-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESNAK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "NALINI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-371-2459",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175808801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175808802",
            "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 25, 2008; 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.