UNIVERSITY OF TEXAS DALLAS
NPI 1457652323
Clinic/Center - Student Health in Richardson, TX

NPI Status: Active since November 09, 2010

Contact Information

800 W CAMPBELL RD
AB10
RICHARDSON, TX
ZIP 75080
Phone: (972) 883-4066
Fax: (972) 883-4496

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 45D1087210
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 07-28-2026

About UNIVERSITY OF TEXAS DALLAS

This page provides the complete NPI Profile along with additional information for University Of Texas Dallas, a primary care provider established in Richardson, Texas operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1457652323 assigned on November 2010. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Tom Monagan Atc (Head Athletic Trainer)

NPI
1457652323
Provider Name
UNIVERSITY OF TEXAS DALLAS
Entity Type
Organization
Location Address
800 W CAMPBELL RD AB10 RICHARDSON, TX 75080
Location Phone
(972) 883-4066
Location Fax
(972) 883-4496
Mailing Address
800 W CAMPBELL RD AB10 RICHARDSON, TX 75080
Mailing Phone
(972) 883-4066
Mailing Fax
(972) 883-4496
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2010
Last Update Date
11-09-2010
Code Navigator

A primary care provider (PCP) like University Of Texas Dallas 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

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

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

MR. TOM MONAGAN ATC

Authorized Official Title
HEAD ATHLETIC TRAINER
Authorized Official Phone
(972) 883-4066

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1087210
Facility Type
School/Student Health Service
Certificate Effective Date
July 29, 2024
Certificate Expiration Date
July 28, 2026
Laboratory Director
MARLO J. WALKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Of Texas Dallas to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UNIVERSITY OF TEXAS DALLAS

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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.
1457652323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107125434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 2 + 5 + 4 + 3 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1457652323 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467430488MS. KATHERINE ELAINE HARABIS I ANP-C
Individual
Nurse Practitioner (Adult Health)800 W CAMPBELL RD
RICHARDSON, TX 75080
(972) 883-2747
1992826812 BEVERLY ANN BALLARD
Individual
Nurse Practitioner (Adult Health)800 W CAMPBELL RD SUITE SU 1.606 MS-SU25
RICHARDSON, TX 75080
(972) 883-2747
1316167844 SANIYA NAHEED MD
Individual
Family Medicine800 W CAMPBELL RD SU25
RICHARDSON, TX 75080
(972) 883-2747
1487011243DR. AMBER WRIGHT PH.D.
Individual
Psychologist800 W CAMPBELL RD
RICHARDSON, TX 75080
(972) 883-2575
1376058040MS. KERRI KALINA MS, LAT, ATC, CCT
Individual
Specialist/Technologist (Athletic Trainer)800 W CAMPBELL RD
RICHARDSON, TX 75080
(972) 883-2111
1073501151MR. BIJU K CHACKO P.A.-C
Individual
Physician Assistant (Medical)800 W CAMPBELL RD
RICHARDSON, TX 75080
(972) 883-2749
1962817833 JULIE ROGERS YANKOWSKY PMHNP-BC, APHN-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)800 W CAMPBELL RD STUDENT SERVICES BUILDING 4TH FLOOR, (SSB 4.600)
RICHARDSON, TX 75080
(972) 883-2575
1396313953 KAY CHANDLER SOLOMON LCSW
Individual
Social Worker800 W CAMPBELL RD
RICHARDSON, TX 75080
(972) 883-7320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457652323, enumerated in the NPI registry as an "organization" on November 09, 2010

The provider is located at 800 W Campbell Rd Ab10 Richardson, Tx 75080 and the phone number is (972) 883-4066

This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health

The provider's CLIA number is 45D1087210 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 09, 2010. 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].
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