Organization Active NPI

CVC Medical PA

Doing business as Highlands Medical and Wellness

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1821672122
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CVC MEDICAL PA
Doing business as
Highlands Medical and Wellness
Practice address
1000 E Belt Line Rd # 112
Carrollton, TX 75006-6282
Phone
(972) 338-5574
Fax
(469) 393-7206
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Dr. Christina Casey, DONPI 1770927634
Title
Owner
Phone
(972) 338-5574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1000 E Belt Line Rd # 112
Carrollton, TX 75006-6282

Mailing address

1000 E Belt Line Rd Ste 112
Carrollton, TX 75006-6282
Phone (972) 338-5574

Other identifiers 2

IdentifierTypeStateIssuer
1770927634OtherTXCHRISTINA CASEY - INDIVIDUAL NPI
351641102MedicaidTX

Other names 1

  • Highlands Medical and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122000320 TX Part B Supplier - Clinic/Group Practice 1951790542 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1000 E Belt Line Rd
#112
Carrollton, TX 75006
Phone (972) 338-5574

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1821672122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E BELT LINE RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066282",
            "telephone_number": "972-338-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BELT LINE RD # 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066282",
            "telephone_number": "972-338-5574",
            "fax_number": "469-393-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVC MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-338-5574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTINA CASEY - INDIVIDUAL NPI",
            "identifier": "1770927634",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351641102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highlands Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.