Organization Active NPI

Dallas E & W OB/GYN Clinic, P.a.

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1922010818
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DALLAS E & W OB/GYN CLINIC, P.A.
Practice address
3100 Midway Rd
Suite 169
Plano, TX 75093-8471
Phone
(972) 378-9666
Fax
(972) 378-9888
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Authorized official

Name
Wenliang Shi, M.D.NPI 1326054552
Title
M.D.
Phone
(972) 378-9666

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3100 Midway Rd
Suite 169
Plano, TX 75093-8471

Mailing address

3100 Midway Rd
Suite 169
Plano, TX 75093-8471
Phone (972) 378-9666

Other identifiers 1

IdentifierTypeStateIssuer
8A0803OtherTXMEDICARE INDIVIDUAL PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114001071 TX Part B Supplier - Clinic/Group Practice 1355360850 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1004608Dallas E & W OB GYN Clinic PA3100 Midway Road Suite 169, Plano, TX 75093Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory

Locations

3100 Midway Rd
Ste 169
Plano, TX 75093
Phone (214) 256-9666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1922010818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MIDWAY RD",
            "address_2": "SUITE 169",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938471",
            "telephone_number": "972-378-9666",
            "fax_number": "972-378-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MIDWAY RD",
            "address_2": "SUITE 169",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938471",
            "telephone_number": "972-378-9666",
            "fax_number": "972-378-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS E & W OB/GYN CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "WENLIANG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "972-378-9666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "8A0803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.