Organization Active NPI

Neurotherapy Center of Dallas

  • Specialist
  • Dallas, TX
National Provider Identifier
1083731335
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D2622 Issued in TX
Legal business name
NEUROTHERAPY CENTER OF DALLAS
Practice address
12870 Hillcrest Rd
Suite 201
Dallas, TX 75230-1531
Phone
(972) 991-1153
Fax
(972) 991-1346
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Jonathan Edward Walker, MD
Title
Owner
Phone
(972) 991-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D2622 TX Primary

Addresses

Primary practice location

12870 Hillcrest Rd
Suite 201
Dallas, TX 75230-1531

Mailing address

12870 Hillcrest Rd
Suite 201
Dallas, TX 75230-1531
Phone (972) 991-1153

National Provider Directory

National Provider Directory

Locations

12870 Hillcrest Rd
Ste 201
Dallas, TX 75230
Phone (972) 283-9361

Practitioners & affiliated clinicians

Practitioners 2

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1083731335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12870 HILLCREST RD",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301531",
            "telephone_number": "972-991-1153",
            "fax_number": "972-991-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12870 HILLCREST RD",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301531",
            "telephone_number": "972-991-1153",
            "fax_number": "972-991-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTHERAPY CENTER OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-991-1153",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D2622",
            "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 Oct 15, 2007; 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.