Organization Active NPI

Ohtc Health Care System, PLLC

  • Special Hospital
  • Carrollton, TX
National Provider Identifier
1871658435
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
AC00007 Issued in TX
Legal business name
OHTC HEALTH CARE SYSTEM, PLLC
Practice address
2625 Old Denton Rd
Suite 546
Carrollton, TX 75007-5125
Phone
(972) 608-8877
Fax
(972) 245-8888
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Edward Song, L.AC., PH.DNPI 1497187942
Title
Doctor
Phone
(972) 608-8877

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X AC00007 TX Primary

Addresses

Primary practice location

2625 Old Denton Rd
Suite 546
Carrollton, TX 75007-5125

Mailing address

2625 Old Denton Rd
Suite 546
Carrollton, TX 75007-5125
Phone (972) 608-8877

National Provider Directory

National Provider Directory

Locations

2625 Old Denton Rd
Ste 546
Carrollton, TX 75007
Phone (972) 608-8877

Practitioners & affiliated clinicians

Practitioners 1

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1871658435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD",
            "address_2": "SUITE 546",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075125",
            "telephone_number": "972-608-8877",
            "fax_number": "972-245-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD",
            "address_2": "SUITE 546",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075125",
            "telephone_number": "972-608-8877",
            "fax_number": "972-245-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHTC HEALTH CARE SYSTEM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-608-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., PH.D"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "AC00007",
            "primary": true
        }
    ],
    "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 Feb 12, 2010; 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.