Organization Active NPI

Kimberly Mezera MD PLLC

  • Orthopaedic Hand Surgery Physician
  • Dallas, TX
National Provider Identifier
1962968081
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
KIMBERLY MEZERA MD PLLC
Practice address
9301 N Central Expy Ste 300
Dallas, TX 75231-0804
Phone
(214) 347-7800
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Kimberly Mezera, MDNPI 1689636748
Title
Owner
Phone
(214) 347-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

9301 N Central Expy Ste 300
Dallas, TX 75231-0804

Mailing address

9301 N Central Expy Ste 300
Dallas, TX 75231-0804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190819003865 TX Part B Supplier - Clinic/Group Practice 1153659859 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20200319001748 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153659859 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

9301 N Central Expy
Ste 300
Dallas, TX 75231
Phone (214) 347-7800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18624/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1962968081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310804",
            "telephone_number": "214-347-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY MEZERA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MEZERA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-347-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "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 Feb 13, 2019; 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.