NPI age
7 years
Enumerated 2018-07-20
● Active Type 2 · Organization
Ccrm Dfw, Llc
Ccrm Dfw, Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pardew
Ceo
Last NPPES update
2018-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
7 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 6% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
8380 Warren Pkwy Ste 201
Frisco, TX 75034
Mailing address
9380 Station St Ste 425
Lone Tree, CO 801246832
Authorized official
Jon Pardew
Ceo
📞 3039681950
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Shaina Babu, FNP-C Obstetrics & Gynecology NPI 1679153597
- Alyssa Lannoo Nurse Practitioner NPI 1790353688
- Rinku Mehta, M.D. Obstetrics & Gynecology NPI 1871511659
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinical Medical Laboratory(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 45D1095599 | CLIA |
| 01 | 130394 | ASC LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CCRM Dallas Fort Worth
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.