Chester Gwin III, M.D. – Forensic Pathology Physician

Key facts

NPI: 1982928487
Entity type: Individual (NPI type 1)
Primary specialty: Forensic Pathology Physician 207ZF0201X
License: N3708 (TX)
Practice address: 5230 Southwestern Medical Ave
Dallas, TX 75235-7710
Phone: (214) 920-5900
NPI assigned: Mar 26, 2010
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

University of Texas Southwestern Medical Center at Dallas Internal Medicine Physician · Dallas, TX · NPI 1760452767

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
N3708	TX	MD	Forensic Pathology Physician

Practice roles

Organization	Specialty	Status	New patients
University of Texas Southwestern Medical Center at Dallas		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Forensic Pathology Physician	207ZF0201X	N3708	TX	Yes

Addresses

Primary practice location

5230 Southwestern Medical Ave
Dallas, TX 75235-7710

Mailing address

5230 Southwestern Medical Ave
Dallas, TX 75235-7710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2010.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1982928487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 SOUTHWESTERN MEDICAL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 SOUTHWESTERN MEDICAL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357710",
            "telephone_number": "214-920-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "CHESTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TX",
            "license": "N3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

All providers in Dallas, TX · Forensic Pathology Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.