Individual provider Active NPI

Mallory Greeff, PA-C

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1871301218
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20313 Issued in TX
Practice address
210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003
Phone
(469) 291-0770
NPI assigned
Dec 18, 2024
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20313 TX Primary

Addresses

Primary practice location

210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003

Mailing address

210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003
Phone (469) 291-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527001416 TX Practitioner - Physician Assistant 0345710729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 W John Carpenter Fwy
Suite 100
Irving, TX 75039-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20313TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Endocrinology CurrentSince Apr 18, 2026 Accepting new patients

Locations

210 W John Carpenter Fwy
Ste 100
Irving, TX 75039
Phone (469) 291-0770

6750 N MacArthur Blvd
Ste 205
Irving, TX 75039
Phone (214) 637-0887

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEEBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1871301218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W JOHN CARPENTER FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392003",
            "telephone_number": "469-291-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W JOHN CARPENTER FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392003",
            "telephone_number": "469-291-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEFF",
        "first_name": "MALLORY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.