Organization Active NPI

KW Medical PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1942468558
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KW MEDICAL PA
Practice address
214 West Colorado Ave
Dallas, TX 75208
Phone
(214) 943-9431
Fax
(214) 943-9407
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Linda Riley
Title
Administrative Assistant
Phone
(214) 943-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

214 West Colorado Ave
Dallas, TX 75208

Mailing address

PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1942468558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752226656",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WEST COLORADO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KW MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "214-943-9431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.