Organization Active NPI

Crescent Oasis Medical PLLC

  • Clinic/Center
  • Carrollton, TX
National Provider Identifier
1871309617
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CRESCENT OASIS MEDICAL PLLC
Practice address
1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999
Phone
(972) 704-1554
NPI assigned
Dec 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Haider Burney, MDNPI 1023654092
Title
Owner
Phone
(718) 604-5000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999

Mailing address

1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213001244 TX Part B Supplier - Clinic/Group Practice 7618407107 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1735 Keller Springs Rd
Ste 101
Carrollton, TX 75006
Phone (469) 933-3519

Practitioners & affiliated clinicians

Practitioners 2

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": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1871309617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062999",
            "telephone_number": "972-704-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT OASIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-604-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.