DENNIS WHITEHOUSE MHT LLC
Complete NPI Record 1265880231
Internal Medicine in Mckinney, TX

NPI Status: Active since May 31, 2016

Contact Information

1575 HERITAGE DR STE 205
MCKINNEY, TX
ZIP 75069
Phone: (469) 307-5810

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Complete NPI Dataset

This page represents the complete record for NPI 1265880231. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1265880231
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. 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 (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 1575 HERITAGE DR STE 205
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: MCKINNEY
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: TX
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Postal Code: 750693386
The State code in the location of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 4693075810
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 1575 HERITAGE DR STE 205
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address City Name: MCKINNEY
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address State Name: TX
The date that a record was last updated or changed.
Provider Business Practice Location Address Postal Code: 750693386
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4693075810
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/31/2016
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Last Update Date: 5/31/2016
The date that a record was last updated or changed.
Authorized Official Last Name: JORDAN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: EMILY
The first name of the authorized official.
Authorized Official Title or Position: VP OF PAYER RELATIONS
The title or position of the authorized official.
Authorized Official Telephone Number: 4693075810
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207R00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP