Organization Active NPI

Oak Cliff Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1093175333
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02708181 Issued in TX
Legal business name
OAK CLIFF MEDICAL TRANSPORTATION
Practice address
3951 Gray Oak PL
Dallas, TX 75212-1591
Phone
(214) 730-8809
Fax
(214) 378-9249
NPI assigned
Feb 29, 2016
Organization subpart
Yes
Parent organization
OAK CLIFF MEDICAL TRANSPORTATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Tewodros Bekele Tiku
Title
Manager
Phone
(214) 730-8809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 02708181 TX Primary

Addresses

Primary practice location

3951 Gray Oak PL
Dallas, TX 75212-1591

Mailing address

3951 Gray Oak PL
Dallas, TX 75212-1591
Phone (214) 730-8809

Other identifiers 1

IdentifierTypeStateIssuer
8809MedicaidTX

National Provider Directory

National Provider Directory
Part of
Oak Cliff Medical Transportation

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1093175333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 GRAY OAK PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752121591",
            "telephone_number": "214-730-8809",
            "fax_number": "214-378-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 GRAY OAK PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752121591",
            "telephone_number": "214-730-8809",
            "fax_number": "214-378-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CLIFF MEDICAL TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK CLIFF MEDICAL TRANSPORTATION",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "TIKU",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_middle_name": "BEKELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-730-8809"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "02708181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8809",
            "state": "TX"
        }
    ],
    "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 Feb 29, 2016; 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.