Id Docs of Dallas PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ID DOCS OF DALLAS PA

Practice address

4401 West Spring Creek Pkwy
Suite 400
Plano, TX 75021-5331

Phone

(972) 737-8299

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Sheethal M Laxmi, MNNPI 1316189673

Title

Owner

Phone

(732) 216-6273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheethal Manipadaga Laxmi, M.D.

  • Infectious Disease Physician
  • Marlboro, NJ
  • NPI 1316189673

  TX

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1962901538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OAK GROVE LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192407",
            "telephone_number": "732-216-6273",
            "fax_number": "469-969-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750215331",
            "telephone_number": "972-737-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID DOCS OF DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "LAXMI",
        "authorized_official_first_name": "SHEETHAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-216-6273",
        "authorized_official_credential": "MN"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Plano, TX
• Providers in Plano, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.