DFW Community Birth & Wellness, LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

DFW COMMUNITY BIRTH & WELLNESS, LLC

Practice address

4612 Gaston Ave
Dallas, TX 75246-1010

Phone

(214) 699-8659

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Jean Fewell, LM, CPMNPI 1255902540

Title

Co-Owner

Phone

(214) 699-8659

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Elizabeth Jean Fewell, LM

  • Midwife
  • North Richland Hills, TX
  • NPI 1255902540
  NPD Authorized official
• Jennifer Eliabeth Crawford, LM, CPM, CLC

  • Midwife
  • Dallas, TX
  • NPI 1932637113
  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1104657592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461010",
            "telephone_number": "214-699-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW COMMUNITY BIRTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "FEWELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "214-699-8659",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932637113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• DFW Childrens Surgery Center LLC
• DFW Concierge MD PLLC
• DFW Crown Dental of South Lancaster PC
• DFW Dental Associates, PA
• DFW Dental Associates, PA
• DFW Dental Specialists PLLC

• Birthing Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.