UNIVERSITY OF DALLAS (NPI# 1871964122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871964122 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF DALLAS |
| Other Organization Name | UNIVERSITY OF DALLAS SPORTS MEDICINE |
| Practice Address |
1845 E Northgate Dr Maher Athletic Center Irving TX 75062-4736 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9727215010 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| University of Dallas Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255615258 | University of Dallas | Clinic/Center | 1845 E Northgate Dr, Haggar Bldg 2nd Floor, Irving, TX 75062-4736 | 2011-10-09 |
| Street Address |
1845 E NORTHGATE DR MAHER ATHLETIC CENTER |
| City | IRVING |
| State | TX |
| Zip Code | 75062-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669576 | Laurette Dekat Kugelmann | Pediatrics | 1845 E Northgate Dr, University of Dallas Student Health Center, Irving, TX 75062-4736 | 2006-10-05 |
| 1679983191 | Corrie Rose Bober | Specialist/Technologist | 1845 E Northgate Dr, Irving, TX 75062-4736 | 2014-05-06 |
| 1255615258 | University of Dallas | Clinic/Center | 1845 E Northgate Dr, Haggar Bldg 2nd Floor, Irving, TX 75062-4736 | 2011-10-09 |
| 1275782427 | Amy M. Fisher-smith | Psychologist | 1845 E Northgate Dr, Irving, TX 75062-4736 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912317306 | Marsha Ann Martinez | Pediatrics | 502 N Durango Cir, Irving, TX 75062-6540 | 2014-05-06 |
| 1083059505 | Jacob Pediatrics Pllc | Pediatrics | 1735 N Story Rd, Suite 154, Irving, TX 75061-1916 | 2013-05-10 |
| 1821433236 | Adam Lowell Hamill | Pediatrics | 245 E Grauwyler Rd, Ste 122, Irving, TX 75061-2639 | 2013-04-30 |
| 1689975526 | Valley Ranch Pediatrics | Pediatrics | 8850 N Macarthur Blvd, Suite# 102, Irving, TX 75063-7594 | 2010-11-09 |
| 1639308257 | Amit Bajaj | Pediatrics | 7429 Las Colinas Blvd Ste 101, Irving, TX 75063-7573 | 2009-07-02 |
| 1356577282 | Hung Hoang Truong | Pediatrics | 1111 W Airport Fwy Ste 143, Irving, TX 75062 | 2009-06-05 |
| 1184868325 | Henry Kay Rance | Pediatrics | 600 Las Colinas Blvd E Ste 1550, Irving, TX 75039-5693 | 2009-04-30 |
| 1629229299 | Alan Newton Miller II | Pediatrics | 1225 West Grauwyler Rd, Irving, TX 75061-2206 | 2008-10-01 |
| 1053453225 | Vicky R Taylor | Pediatrics | 6724 Verde #228, Irving, TX 75039 | 2007-02-13 |
| 1679669576 | Laurette Dekat Kugelmann | Pediatrics | 1845 E Northgate Dr, University of Dallas Student Health Center, Irving, TX 75062-4736 | 2006-10-05 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.