Active NPI
Patricia Grace Dango-Capati Dba Superior Care Clinic
- Pediatrics Physician
- Irving, TX
National Provider Identifier
1902207335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PATRICIA GRACE DANGO-CAPATI DBA SUPERIOR CARE CLINIC
- Practice address
- 3204 N Macarthur Blvd
Building a
Irving, TX 75062-4453 - Phone
- (817) 602-8194
- NPI assigned
- Sep 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Grace Dango-Capati
- Title
- Ceo and Practice Administrator
- Phone
- (718) 602-8194
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TX | ||
| Adult Medicine Physician | 207QA0505X | TX | ||
| Internal Medicine Physician | 207R00000X | TX | ||
| Pediatrics Physician | 208000000X | Primary | ||
| Physician Assistant | 363A00000X | TX | ||
| Medical Physician Assistant | 363AM0700X | TX | ||
| Family Nurse Practitioner | 363LF0000X | TX | ||
| Pediatric Nurse Practitioner | 363LP0200X | TX |
Addresses
Primary practice location
3204 N Macarthur Blvd
Building a
Irving, TX 75062-4453
Mailing address
3204 N Macarthur Blvd
Building a
Irving, TX 75062-4453
Phone (817) 602-8194
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2081538 | Superior Care Clinic | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Irving, TX
- NPI 1942284542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1902207335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 N MACARTHUR BLVD",
"address_2": "BUILDING A",
"city": "IRVING",
"state": "TX",
"postal_code": "750624453",
"telephone_number": "817-602-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 N MACARTHUR BLVD",
"address_2": "BUILDING A",
"city": "IRVING",
"state": "TX",
"postal_code": "750624453",
"telephone_number": "817-602-8194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA GRACE DANGO-CAPATI DBA SUPERIOR CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "DANGO-CAPATI",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "CEO AND PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "718-602-8194"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.