NPIMap

Organization Active NPI

Carefirst Night Clinic

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1891254918
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREFIRST NIGHT CLINIC
Practice address
1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461
Phone
(972) 216-4900
Fax
(214) 398-0212
NPI assigned
Mar 18, 2019
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Hareshkumar D Boghara, MDNPI 1962660589
Title
Medical Director
Phone
(972) 216-4900

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
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461

Mailing address

1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461
Phone (972) 216-4900

Other practice location 1

9353 Elam Rd
Dallas, TX 75217-4181
Phone (972) 587-7126

National Provider Directory

National Provider Directory

Locations

1320 N Galloway Ave
Ste 104
Mesquite, TX 75149
Phone (972) 216-4900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1891254918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "972-216-4900",
            "fax_number": "214-398-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "972-216-4900",
            "fax_number": "214-398-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Elam Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752174181",
            "country_code": "US",
            "telephone_number": "972-587-7126",
            "fax_number": "866-571-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREFIRST NIGHT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESHKUMAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-216-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.