NORTH DALLAS DIGESTIVE DISEASE
NPI 1144593294
Clinic/Center - Medical Specialty in Richardson, TX

Active since February 21, 2012CLIA 45D2323626 · Certificate of Compliance
3509 SPECTRUM BLVD, RICHARDSON, TX 75082(972) 238-1858 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Dallas Digestive Disease NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DALLAS DIGESTIVE DISEASE (NPI 1144593294) is a healthcare organization registered as a medical specialty in Richardson, Texas and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2028 and lists Xinqing Fan, Physician, as its authorized official.

NPPES Registry Identity

NPI1144593294
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTH DALLAS DIGESTIVE DISEASE
Location Address3509 SPECTRUM BLVDRichardson, TX 75082-9703
Mailing Address5821 Braemar DrPlano, TX 75093-4731 · (972) 781-9030
Organization SubpartNo
Authorized OfficialXinqing FanPhysician · (214) 929-9290
Enumeration DateFebruary 21, 2012
Last NPPES UpdateMarch 21, 2012
NPI 1144593294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in TX · M2319
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3509 SPECTRUM BLVD, Richardson, TX 75082

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2323626

North Dallas Digestive Disease Specialists, PLLC · Richardson, TX
Active · expires Feb 5, 2028
CLIA Number45D2323626
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorRoshan Raza
Laboratory Phone(972) 238-1858
Laboratory LocationNorth Dallas Digestive Disease Specialists, PLLC3509 Spectrum Boulevard, Suite A, Richardson, TX 75082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
3509 SPECTRUM BLVD
RICHARDSON, TX 75082
Physical Medicine & Rehabilitation
3509 SPECTRUM BLVD, SUITE B
RICHARDSON, TX 75082
Nurse Practitioner (Family)
3509 SPECTRUM BLVD
RICHARDSON, TX 75082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144593294, enumerated as an "organization" on February 21, 2012.

The provider is located at 3509 SPECTRUM BLVD RICHARDSON, TX 75082 and the phone number is (972) 238-1858.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.