Active NPI
Ap US 14, PA
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1902415904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AP US 14, PA
- Practice address
- 1717 Main St Ste 5850
Dallas, TX 75201-7317 - Phone
- (972) 449-0540
- Fax
- (972) 449-0550
- NPI assigned
- Jul 24, 2020
- Last updated
- Oct 14, 2024
- 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
- Christopher Gallagher, MD
- Title
- Ceo/President
- Phone
- (972) 449-0540
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Neurology Physician | 2084N0400X | NU |
Addresses
Primary practice location
1717 Main St Ste 5850
Dallas, TX 75201-7317
Mailing address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI, MO, TX, NY, AZ, OK, NV, MA, KS
Enrollment records 10
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 135
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1902415904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST STE 5850",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017317",
"telephone_number": "972-449-0540",
"fax_number": "972-449-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 MAIN ST STE 5850",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017317",
"telephone_number": "972-449-0540",
"fax_number": "972-449-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AP US 14, PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "972-449-0540",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1717 Main St Ste 5850",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752017317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.