KIEST PARK MEDICAL CLINIC
NPI 1306025614
Family Medicine in Dallas, TX

NPI Status: Active since November 02, 2007

Contact Information

2225 VATICAN LN
DALLAS, TX
ZIP 75224
Phone: (214) 333-3393
Fax: (214) 333-0809

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  • Organization
  • Family Medicine

About KIEST PARK MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Kiest Park Medical Clinic, a primary care provider established in Dallas, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1306025614 assigned on November 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Kiest Park Medical Clinic. The authorized official of this NPI record is Dr. Louis Dale Zegarelli D.o. (Physician/medical Director)

NPI
1306025614
Provider Legal Name
LOUIS D ZEGARELLI D O P A
Other Organization Name
KIEST PARK MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2225 VATICAN LN DALLAS, TX 75224
Location Phone
(214) 333-3393
Location Fax
(214) 333-0809
Mailing Address
2225 VATICAN LN DALLAS, TX 75224
Mailing Phone
(214) 333-3393
Mailing Fax
(214) 333-0809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2007
Last Update Date
07-06-2012
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A primary care provider (PCP) like Kiest Park Medical Clinic 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 .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LOUIS DALE ZEGARELLI D.O.

Authorized Official Title
PHYSICIAN/MEDICAL DIRECTOR
Authorized Official Phone
(214) 333-3393

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0051RMEDICARE PIN (08)TX 
146654201MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1306025614
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306021062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 0 + 2 + 1 + 0 + 6 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1306025614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114027414HIGHLANDER PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)2225 VATICAN LN
DALLAS, TX 75224
(817) 375-2036
1982154175MRS. DIANA CHOY CHAVEZ FNP-C
Individual
Nurse Practitioner2225 VATICAN LN
DALLAS, TX 75224
(214) 333-3393
1205467537 SAMUEL OLATUNDUN IRANLOYE
Individual
Nurse Practitioner (Psychiatric/Mental Health)2225 VATICAN LN
DALLAS, TX 75224
(214) 333-3393
1679869036DR. SAILAJA DANDAMUDI M.D
Individual
Internal Medicine2225 VATICAN LN
DALLAS, TX 75224
(214) 333-3393
1134848195 LAURA ANNE COLON APRN-CNP
Individual
Nurse Practitioner (Family)2225 VATICAN LN
DALLAS, TX 75224
(214) 333-3393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306025614, enumerated in the NPI registry as an "organization" on November 02, 2007

The provider is located at 2225 Vatican Ln Dallas, Tx 75224 and the phone number is (214) 333-3393

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.