Organization Active NPI

1St Class Urgent Care Center PLLC

  • Emergency Medicine Physician
  • Allen, TX
National Provider Identifier
1861752024
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
1ST CLASS URGENT CARE CENTER PLLC
Practice address
1811 E Bethany Dr
Allen, TX 75002-1882
Phone
(214) 383-1700
Fax
(214) 383-7166
NPI assigned
May 22, 2012
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Joseph B Taiwo, M.D.
Title
Medical Director
Phone
(214) 383-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1811 E Bethany Dr
Allen, TX 75002-1882

Mailing address

PO Box 1485
Allen, TX 75013-0024
Phone (214) 383-1700

Other identifiers 2

IdentifierTypeStateIssuer
0026XVOtherBCBS OF TEXAS
0026XVOtherTXBCBS OF TEXAS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@1stclassurgentcare.com

National Provider Directory

National Provider Directory

Locations

1811 E Bethany Dr
Allen, TX 75002
Phone (214) 383-1700

910 N Galloway Ave
#102
Mesquite, TX 75149
Phone (972) 810-7026

910 N Galloway Ave
Ste 102
Mesquite, TX 75149
Phone (972) 222-8001

Interoperability endpoints

  • Direct secure messaging: admin@1stclassurgentcare.com

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1861752024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1485",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130024",
            "telephone_number": "214-383-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E BETHANY DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021882",
            "telephone_number": "214-383-1700",
            "fax_number": "214-383-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CLASS URGENT CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-383-1700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0026XV",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0026XV",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@1stclassurgentcare.com",
            "affiliation": "N",
            "address_1": "1811 E Bethany Dr",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750021882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.