Active NPI
Methodist Hospital of Dallas
- Certified Registered Nurse Anesthetist
- Dallas, TX
National Provider Identifier
1922069905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- METHODIST HOSPITAL OF DALLAS
- Practice address
- 1441 N Beckley Ave
Dallas, TX 75203-1201 - Phone
- (214) 947-8181
- NPI assigned
- Mar 30, 2006
- 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
- Mr. Michael J Schaefer
- Title
- Exec VP & Chief Financial Officer
- Phone
- (214) 947-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1441 N Beckley Ave
Dallas, TX 75203-1201
Mailing address
PO Box 655999
Dallas, TX 75265-5999
Phone (214) 947-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C19E | Other | TX | BLUE CROSS BLUE SHIELD TX |
Other names 1
- Methodist Dallas Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1922069905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655999",
"city": "DALLAS",
"state": "TX",
"postal_code": "752655999",
"telephone_number": "214-947-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031201",
"telephone_number": "214-947-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METHODIST HOSPITAL OF DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-30",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXEC VP & CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "214-947-4510",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "00C19E",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Methodist Dallas Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.