Organization Active NPI

Boyett Healthcare of Texas PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1962937524
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
BOYETT HEALTHCARE OF TEXAS PLLC
Practice address
7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3831
Phone
(205) 921-5556
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Brent BoyettNPI 1235211129
Title
Owner
Phone
(205) 921-5556

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
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3831

Mailing address

7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180313001981 TX Part B Supplier - Clinic/Group Practice 3072875939 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

6600 Lyndon B Johnson Fwy
Ste 24
Dallas, TX 75240

6600 Lyndon B Johnson Fwy
Ste 240
Dallas, TX 75240
Phone (214) 733-9565

7515 Greenville Ave
Ste 1060
Dallas, TX 75231
Phone (469) 480-5560

Practitioners & affiliated clinicians

Practitioners 5

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": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1962937524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "205-921-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYETT HEALTHCARE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-921-5556"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "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 Apr 20, 2017; 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.