NPIMap

Organization Active NPI

Manuel Griego Jr DO PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1861692725
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F1604 Issued in TX
Legal business name
MANUEL GRIEGO JR DO PA
Practice address
700 N Pearl St
Suite N208
Dallas, TX 75201-2824
Phone
(214) 999-9355
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Carole Ann Barnett
Title
Practice Administrator
Phone
(214) 580-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F1604 TX Primary

Addresses

Primary practice location

700 N Pearl St
Suite N208
Dallas, TX 75201-2824

Mailing address

1421 Main Street
Suite 905
Dallas, TX 75202
Phone (214) 580-7277

Other identifiers 1

IdentifierTypeStateIssuer
80266201MedicaidTX

Other names 1

  • Plaza Medical Centre Doing business as

National Provider Directory

National Provider Directory

Locations

3116 Mlk Blvd
Dallas, TX 75215
Phone (214) 320-3300

10050 Legacy Dr
Frisco, TX 75033
Phone (214) 494-4677

4709 W Parker Rd
Ste 430
Plano, TX 75093
Phone (469) 949-9931

Practitioners & affiliated clinicians

Practitioners 10

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1861692725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MAIN STREET",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75202",
            "telephone_number": "214-580-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PEARL ST",
            "address_2": "SUITE N208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012824",
            "telephone_number": "214-999-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL GRIEGO JR DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-580-7277"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80266201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Medical Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2007; 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.