NPIMap

Organization Active NPI

Citywide I D Associates, Inc

  • Specialist
  • Addison, TX
National Provider Identifier
1982906244
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CITYWIDE I D ASSOCIATES, INC
Practice address
15800 Dooley Rd
Suite 100
Addison, TX 75001-4284
Phone
(972) 239-3849
Fax
(972) 934-4969
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Allen G Reuben, M.D.
Title
President
Phone
(214) 282-7692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

15800 Dooley Rd
Suite 100
Addison, TX 75001-4284

Mailing address

15800 Dooley Rd
Suite 100
Addison, TX 75001-4284
Phone (972) 239-3849

National Provider Directory

National Provider Directory

Locations

4287 Belt Line Rd
#357
Addison, TX 75001

15800 Dooley Rd
Ste 100
Addison, TX 75001
Phone (972) 239-3849

Practitioners & affiliated clinicians

Practitioners 8

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1982906244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 DOOLEY RD",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014284",
            "telephone_number": "972-239-3849",
            "fax_number": "972-934-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 DOOLEY RD",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014284",
            "telephone_number": "972-239-3849",
            "fax_number": "972-934-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE I D ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "REUBEN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-282-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.