American Clinical Network LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AMERICAN CLINICAL NETWORK LLC

Practice address

555 Republic Dr Ste 500
Plano, TX 75074-8800

Phone

(214) 390-7697

Fax

(888) 770-6360

NPI assigned

Dec 10, 2019

Organization subpart

No

Name

Christy Jenkins

Title

Admin

Phone

(972) 827-6299

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2021.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1992342927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD PMB 149",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "972-741-7189",
            "fax_number": "214-614-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748800",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CLINICAL NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "972-827-6299"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Plano, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.