Organization Active NPI

Pediatric Neurology of Dallas

  • Neurology with Special Qualifications in Child Neurology Physician
  • Dallas, TX
National Provider Identifier
1043873326
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
PEDIATRIC NEUROLOGY OF DALLAS
Practice address
7777 Forest Lane
Medical City Dallas Suite a-234
Dallas, TX 75230-2507
Phone
(972) 566-5656
Fax
(972) 566-5627
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Mrs. Mahshid Moein, M.D.NPI 1861686248
Title
Physician
Phone
(214) 707-8121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

7777 Forest Lane
Medical City Dallas Suite a-234
Dallas, TX 75230-2507

Mailing address

7777 Forest Lane
Medical City Dallas Suite B-248
Dallas, TX 75230-2507
Phone (972) 566-8600

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste A234
Dallas, TX 75230
Phone (972) 566-7772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1043873326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "MEDICAL CITY DALLAS SUITE B-248",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302507",
            "telephone_number": "972-566-8600",
            "fax_number": "972-566-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "MEDICAL CITY DALLAS SUITE A-234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302507",
            "telephone_number": "972-566-5656",
            "fax_number": "972-566-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "MOEIN",
        "authorized_official_first_name": "MAHSHID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-707-8121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "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 Apr 22, 2019; 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.