CLINICA MEDICA DE DALLAS, P.A. NPI 1861666018

Family Medicine (Geriatric Medicine) in Dallas, TX

NPI 1861666018 Organization Family Medicine Geriatric Medicine

NPI Profile for CLINICA MEDICA DE DALLAS, P.A.

Clinica Medica De Dallas, P.a. is a primary care provider established in Dallas, Texas specializing in family medicine (geriatric medicine) . The NPI number of Clinica Medica De Dallas, P.a. is 1861666018 and was assigned on April 2008. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Clinica Medica De Dallas, P.a. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Benigno Buentipo Jr. M.d. (Vice-president)

A primary care provider (PCP) like Clinica Medica De Dallas, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1861666018

Provider NameCLINICA MEDICA DE DALLAS, P.A.
Provider Location Address4811A COLUMBIA AVE DALLAS, TX 75226
Provider Mailing Address4811A COLUMBIA AVE DALLAS, TX 75226
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-18-2008
Last Update Date04-18-2008


Primary Taxonomy

Taxonomy Code207QG0300X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGeriatric Medicine
Taxonomy DescriptionA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Business Address

CLINICA MEDICA DE DALLAS, P.A.
4811A COLUMBIA AVE
DALLAS, TX
ZIP 75226
Phone: (214) 823-5590
Fax: (214) 823-6638

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Mailing Address

CLINICA MEDICA DE DALLAS, P.A.
4811A COLUMBIA AVE
DALLAS, TX
ZIP 75226
Phone: (214) 823-5590
Fax: (214) 823-6638



Authorized Official

Authorized Official NameDR. BENIGNO BUENTIPO JR. M.D.
Authorized Official TitleVICE-PRESIDENT
Authorized Official Phone(214) 823-5590

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00496UMEDICARE PIN (08)TX

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861666018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211261202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 2 + 6 + 1 + 2 + 0 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1861666018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295895290CLINICA MEDICA DE DALLAS, P.A.
Organization
Family Medicine4811A COLUMBIA AVE
DALLAS, TX 75226
(214) 823-5590
1003005323DR. JUAN F QUIROZ MD
Individual
Family Medicine4811A COLUMBIA AVE
DALLAS, TX 75226
(214) 823-5590
1639484355 RAMONA DELMUNDO-BACANI FNP
Individual
Nurse Practitioner (Family)4811A COLUMBIA AVE
DALLAS, TX 75226
(214) 823-5590

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Clinica Medica De Dallas, P.a. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.