Organization Active NPI

Kimberlea a Roe, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1942539606
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K2112 Issued in TX
Legal business name
KIMBERLEA A ROE, M.D., P.A.
Practice address
418 N Montclair Ave
Dallas, TX 75208-5447
Phone
(214) 478-2221
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Kimberlea A Roe, M.D.
Title
Physician
Phone
(214) 478-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K2112 TX Primary

Addresses

Primary practice location

418 N Montclair Ave
Dallas, TX 75208-5447

Mailing address

418 N Montclair Ave
Dallas, TX 75208-5447
Phone (214) 478-2221

Other identifiers 1

IdentifierTypeStateIssuer
029805102MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1942539606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MONTCLAIR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085447",
            "telephone_number": "214-478-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MONTCLAIR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085447",
            "telephone_number": "214-478-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEA A ROE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "KIMBERLEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-478-2221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029805102",
            "state": "TX"
        }
    ],
    "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 Jun 10, 2011; 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.