NPIMap

Organization Active NPI

Princeton Anesthesia Associates, PA

  • Specialist
  • Richardson, TX
National Provider Identifier
1952448805
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRINCETON ANESTHESIA ASSOCIATES, PA
Practice address
2201 N Central Expy
Suite 171
Richardson, TX 75080-2754
Phone
(972) 238-2877
Fax
(972) 238-2880
NPI assigned
Jan 31, 2007
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Arif B Khan, M.D.NPI 1386662567
Title
President
Phone
(972) 952-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2201 N Central Expy
Suite 171
Richardson, TX 75080-2754

Mailing address

2201 N Central Expy
Suite 171
Richardson, TX 75080-2754
Phone (972) 952-0290

Other identifiers 1

IdentifierTypeStateIssuer
0002KDOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1952448805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY",
            "address_2": "SUITE 171",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802754",
            "telephone_number": "972-952-0290",
            "fax_number": "972-952-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY",
            "address_2": "SUITE 171",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802754",
            "telephone_number": "972-238-2877",
            "fax_number": "972-238-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ARIF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-952-0290",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002KD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.