Organization Active NPI

Renaissance Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
National Provider Identifier
1851382717
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100007 Issued in TX
Legal business name
RENAISSANCE HOSPITAL DALLAS
Practice address
2929 S. Hampton Road
Dallas, TX 75224
Phone
(214) 623-4400
Fax
(214) 623-4851
NPI assigned
Oct 31, 2005
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Robyn Suhlman
Title
Ughs
Phone
(713) 375-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100007 TX Primary

Addresses

Primary practice location

2929 S. Hampton Road
Dallas, TX 75224

Mailing address

2929 S. Hampton Road
Dallas, TX 75224
Phone (214) 623-4400

Other identifiers 2

IdentifierTypeStateIssuer
216407102MedicaidTX
216407101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1851382717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S. HAMPTON ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-623-4400",
            "fax_number": "214-623-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S. HAMPTON ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-623-4400",
            "fax_number": "214-623-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOSPITAL DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SUHLMAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "UGHS",
        "authorized_official_telephone_number": "713-375-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "100007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216407102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216407101",
            "state": "TX"
        }
    ],
    "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 Mar 19, 2015; 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.