Individual provider Active NPI

Allan Joseph Cribbins III, M.D.

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1932169208
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L0109 Issued in TX
Practice address
6020 W Parker Rd Ste 400
Plano, TX 75093-8175
Phone
(214) 501-1333
Fax
(214) 501-1334
NPI assigned
Mar 23, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L0109 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 400
Plano, TX 75093-8175

Mailing address

6020 W Parker Rd Ste 400
Plano, TX 75093-8175
Phone (972) 981-8440

Other identifiers 1

IdentifierTypeStateIssuer
029956201MedicaidTX

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
I20050616000778 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 4587608807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0109TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allan Joseph Cribbins III, Mdpa CurrentSince Jun 5, 2006 Accepting new patients
Premier Urgent Care and Bariatric Services, LLC PastSince Apr 10, 2012 Accepting new patients

Locations

6020 W Parker Rd
Ste 400
Plano, TX 75093
Phone (214) 501-1333

6020 W Parker Rd
Ste 430
Plano, TX 75093
Phone (214) 501-1333

Interoperability endpoints

  • Direct secure messaging: dmcacribb@yourcarecommunity.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1932169208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938175",
            "telephone_number": "972-981-8440",
            "fax_number": "972-981-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938175",
            "telephone_number": "214-501-1333",
            "fax_number": "214-501-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBBINS",
        "first_name": "ALLAN",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029956201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.