Organization Active NPI

Gretchen F Toler MD PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1841685252
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G8466 Issued in TX
Legal business name
GRETCHEN F TOLER MD PLLC
Practice address
5477 Glen Lakes Dr
Suite 150
Dallas, TX 75231-0946
Phone
(214) 373-9391
Fax
(214) 373-9303
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Dr. Gretchen F Toler, M.D.NPI 1477629699
Title
Owner
Phone
(214) 373-9391

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
Primary Care Clinic/Center 261QP2300X G8466 TX Primary

Addresses

Primary practice location

5477 Glen Lakes Dr
Suite 150
Dallas, TX 75231-0946

Mailing address

5477 Glen Lakes Dr
Suite 150
Dallas, TX 75231-0946
Phone (214) 373-9391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602000086 TX Part B Supplier - Clinic/Group Practice 1850612961 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1841685252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "telephone_number": "214-373-9391",
            "fax_number": "214-373-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "telephone_number": "214-373-9391",
            "fax_number": "214-373-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN F TOLER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "TOLER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-373-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G8466",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2015; 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.