Organization Active NPI

Integrative Concepts of Medicine,LLC

  • Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1841485679
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
675206 Issued in TX
Legal business name
INTEGRATIVE CONCEPTS OF MEDICINE,LLC
Practice address
3330 Earhart Dr
Ste 206
Carrollton, TX 75006-4919
Phone
(972) 990-9951
NPI assigned
Sep 14, 2007
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Miklos Majors, NP
Title
President
Phone
(214) 475-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 675206 TX Primary

Addresses

Primary practice location

3330 Earhart Dr
Ste 206
Carrollton, TX 75006-4919

Mailing address

PO Box 580
Addison, TX 75001-0580
Phone (972) 991-9950

Other identifiers 2

IdentifierTypeStateIssuer
0049NNOtherTXBCBS GROUP NUMBER
179969401MedicaidTX

National Provider Directory

National Provider Directory

Locations

2142 Research Row
#11
Dallas, TX 75235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1841485679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750010580",
            "telephone_number": "972-991-9950",
            "fax_number": "972-991-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 EARHART DR",
            "address_2": "STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064919",
            "telephone_number": "972-990-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CONCEPTS OF MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MAJORS",
        "authorized_official_first_name": "MIKLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-475-4924",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "675206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0049NN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179969401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 6, 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.