IndividualActive
Jeffrey Fanning, MD
NPI 1962442087 · Pediatric Critical Care Medicine Physician · Dallas, TX
Provider details
- NPI number
- 1962442087
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 48843 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7777 Forest Ln Ste D569
Dallas, TX 75230-6903
Phone: (972) 566-8340
Fax: (972) 566-8338
Street-level locationGet directions
Mailing address
Po Box 515055
Dallas, TX 75251-5055
Additional practice locations (2)
- 11115 Parkview Plaza DrFort Wayne, IN 46845-1701Phone: (260) 266-5400Fax: (260) 425-5715
- 835 S Van Buren StGreen Bay, WI 54301-3526Phone: (920) 496-4700
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.