Organization Active NPI

Jewish Family Service of Dallas, Inc

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1003676834
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEWISH FAMILY SERVICE OF DALLAS, INC
Practice address
12606 Greenville Ave Ste 200
Dallas, TX 75243-1923
Phone
(469) 780-4590
Fax
(972) 437-1988
NPI assigned
Mar 20, 2024
Organization subpart
Yes
Parent organization
JEWISH FAMILY SERVICE OF DALLAS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherry Webb
Title
Director RCM
Phone
(469) 688-7686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12606 Greenville Ave Ste 200
Dallas, TX 75243-1923

Mailing address

5402 Arapaho Rd
Dallas, TX 75248-6905
Phone (469) 780-4590

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service2 organizations share this tax ID, including this one
Part of
Jewish Family Service

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27034/brand/1/csg/21/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1003676834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "469-780-4590",
            "fax_number": "972-437-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431923",
            "telephone_number": "469-780-4590",
            "fax_number": "972-437-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF DALLAS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH FAMILY SERVICE OF DALLAS, INC",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIRECTOR RCM",
        "authorized_official_telephone_number": "469-688-7686"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.