STELLA MATTINA PRIMARY CARE INC
NPI 1396568713
Family Medicine in Dallas, TX

Q: What is Stella Mattina Primary Care Inc's NPI number?

The NPI number for Stella Mattina Primary Care Inc is 1396568713. It was assigned to this organization in the NPPES registry on November 4, 2024.

Q: What is Stella Mattina Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 04, 2024CLIA 45D2091524 · Accreditation

12201 MERIT DR STE 300, DALLAS, TX 75251(214) 942-3100(469) 399-0355 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stella Mattina Primary Care Inc NPPES

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

STELLA MATTINA PRIMARY CARE INC (NPI 1396568713) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since November 2024. The organization holds an CLIA Accreditation certificate valid through September 11, 2026, maintains a secondary practice location in Dallas, and lists Dina Noriega, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1396568713

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSTELLA MATTINA PRIMARY CARE INC

Location Address12201 MERIT DR STE 300Dallas, TX 75251-3139

Mailing Address12377 Merit Dr Ste 550Dallas, TX 75251-2224 · (469) 868-2990 · Fax (469) 399-0355

Phone(214) 942-3100

Fax(469) 399-0355

Organization SubpartNo

Authorized OfficialDina NoriegaRevenue Cycle Manager · (469) 868-2990

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1396568713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12201 MERIT DR STE 300, Dallas, TX 75251

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Secondary Practice Location 1

Location 11135 N Bishop AveDallas, TX 75208-4114 · Phone (214) 942-3100 · Fax (469) 399-0355

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 45D2091524

Stella Mattina Merit · Dallas, TX

Active · expires Sep 11, 2026

CLIA Number45D2091524

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2024

Certificate Expiration DateSeptember 11, 2026

Laboratory DirectorDr. Theodore J. Krum

Laboratory Phone(214) 294-8989

Laboratory LocationStella Mattina Merit12201 Merit Drive, Suite 300, Dallas, TX 75251

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

MAYRA J THOMPSON MD

Obstetrics & Gynecology