Organization Active NPI

Fastpass Ucm, PLLC

  • Emergency Medicine Physician
  • Mesquite, TX
National Provider Identifier
1811432115
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FASTPASS UCM, PLLC
Practice address
1080 E Cartwright Rd
Suite 120
Mesquite, TX 75149
Phone
(214) 275-9234
NPI assigned
Dec 22, 2016
Organization subpart
Yes
Parent organization
FASTPASS UCC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Dr. Carrie De Moor
Title
President
Phone
(214) 275-9234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1080 E Cartwright Rd
Suite 120
Mesquite, TX 75149

Mailing address

5300 Town and Country Blvd
Suite 260
Frisco, TX 75034-6894
Phone (469) 320-9820

Other names 1

  • Code 3 Urgent Care at Mesquite Doing business as

National Provider Directory

National Provider Directory
Part of
Code 3 Emergency Partners at Carrollton LLC

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1811432115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD",
            "address_2": "SUITE 260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346894",
            "telephone_number": "469-320-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E CARTWRIGHT RD",
            "address_2": "SUITE 120",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "214-275-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTPASS UCM, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FASTPASS UCC, PLLC",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-275-9234",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Code 3 Urgent Care at Mesquite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.