Organization Active NPI

Fastpass Ucc, PLLC

  • Urgent Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1821523382
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FASTPASS UCC, PLLC
Practice address
12600 Rolater Rd Ste 120
Frisco, TX 75035-5188
Phone
(214) 383-7543
Fax
(214) 383-7544
NPI assigned
Apr 21, 2017
Organization subpart
Yes
Parent organization
FASTPASS UCC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Carrie E De Moor, MD
Title
Authorized Official; Ceo
Phone
(469) 320-9820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

12600 Rolater Rd Ste 120
Frisco, TX 75035-5188

Mailing address

5300 Town and Country Blvd Ste 260
Frisco, TX 75034-6913
Phone (469) 208-5297

Other identifiers 1

IdentifierTypeStateIssuer
511138OtherTXMEDICARE

Other names 1

  • Code 3 Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Fastpass Ucc PLLC

Locations

4228 N Josey Ln
Ste 150
Carrollton, TX 75010
Phone (469) 320-9821

3111 Teasley Ln
#120
Denton, TX 76205
Phone (940) 514-8121

12600 Rolater Rd
Ste 120
Frisco, TX 75035
Phone (214) 383-7543

5300 Town and Country Blvd
Ste 260
Frisco, TX 75034
Phone (469) 208-5297

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1821523382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346913",
            "telephone_number": "469-208-5297",
            "fax_number": "214-260-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 ROLATER RD STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355188",
            "telephone_number": "214-383-7543",
            "fax_number": "214-383-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTPASS UCC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FASTPASS UCC, PLLC",
        "enumeration_date": "2017-04-21",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL; CEO",
        "authorized_official_telephone_number": "469-320-9820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "511138",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Code 3 Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Code 3 Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.