Individual provider Active NPI

Amber Delaine Hyde, M.D.

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1902083082
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4487 Issued in TX
Practice address
3021 Gateway Dr Ste 295
Irving, TX 75063-2639
Phone
(469) 351-6136
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10021782 TX
Family Medicine Physician 207Q00000X 26749 OK
Family Medicine Physician 207Q00000X N4487 TX Primary

Addresses

Primary practice location

3021 Gateway Dr Ste 295
Irving, TX 75063-2639

Mailing address

3021 Gateway Dr Ste 295
Irving, TX 75063-2639
Phone (469) 351-6136

Other practice location 1

2800 E Broad St
Ste#318
Mansfield, TX 76063-6409
Phone (817) 473-7184

Other identifiers 2

IdentifierTypeStateIssuer
8CW739OtherTXBLUE CROSS
207520202MedicaidTX

Other names 1

  • Amber Delaine Dunn Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000517 TX Practitioner - Family Practice 8325101975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26749OKMDFamily Medicine Physician
BP10021782TXMDFamily Medicine Physician
N4487TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine CurrentSince Aug 8, 2011 Accepting new patients
Medhealth CurrentSince Aug 8, 2011 Accepting new patients
Plaza Primary Care PLLC Family Medicine Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 318
Mansfield, TX 76063
Phone (214) 946-9898

Interoperability endpoints

  • Direct secure messaging: amber.hyde@160177656168452.direct.elationemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1902083082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 GATEWAY DR STE 295",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632639",
            "telephone_number": "469-351-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 GATEWAY DR STE 295",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632639",
            "telephone_number": "469-351-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Broad St",
            "address_2": "STE#318",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636409",
            "country_code": "US",
            "telephone_number": "817-473-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "AMBER",
        "middle_name": "DELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10021782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8CW739",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207520202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DUNN",
            "middle_name": "DELAINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.