University of Dallas

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UNIVERSITY OF DALLAS

Practice address

1845 E Northgate Dr
Maher Athletic Center
Irving, TX 75062-4736

Phone

(972) 721-5010

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(972) 367-4845

Specialties & licenses 2

Addresses

Other names 1

• University of Dallas Sports Medicine Doing business as

Tax ID family

Student Health Services Univ of Dallas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University of Dallas

  • Student Health Clinic/Center
  • Irving, TX
  • NPI 1255615258
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Heckman, ATC, LAT

  • Sports Medicine (Family Medicine) Physician
  • Irving, TX
  • NPI 1225910979
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1871964122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "address_2": "MAHER ATHLETIC CENTER",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736",
            "telephone_number": "972-721-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Dallas Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah G Ungles, NP
• United Cab Service
• Unity Healthcare Alliance
• Universal Spinal Health Center, PC
• University of Dallas
• Unlimited Grace Healthcare LLC
• Unlimited Home Health Center Inc
• Bishwas Upadhyay, MD
• Shashi Upadhyaya, D.C.
• Padmavathy Uppalapati, M.D.

• Pediatrics Physician in Irving, TX
• Providers in Irving, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.