Active NPI
S T E P Med Inc
- Methadone Clinic
- Dallas, TX
National Provider Identifier
1144366022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- S T E P MED INC
- Practice address
- 2929 Martin Luther King Blvd Suite 4
Dallas, TX 75215-2322 - Phone
- (214) 421-9100
- Fax
- (214) 421-9700
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pramesh Prakash Sharma
- Title
- Director of Administration
- Phone
- (661) 313-5503
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0000078 | TX | |
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
2929 Martin Luther King Blvd Suite 4
Dallas, TX 75215-2322
Mailing address
954 E Madison St
Brownsville, TX 78520-5950
Phone (661) 254-6630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550048 | Other | TX | NORTHSTAR |
| 1000062 | Other | TX | STATE NTP LICENSE |
National Provider Directory
National Provider DirectoryLocations
2929 Mlk Blvd
Ste 4
Dallas, TX 75215
Phone (214) 421-9100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Vocational Nurse
- Dallas, TX
- NPI 1942012828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1144366022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 E MADISON ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785205950",
"telephone_number": "661-254-6630",
"fax_number": "661-254-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 MARTIN LUTHER KING BLVD SUITE 4",
"city": "DALLAS",
"state": "TX",
"postal_code": "752152322",
"telephone_number": "214-421-9100",
"fax_number": "214-421-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S T E P MED INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "PRAMESH",
"authorized_official_middle_name": "PRAKASH",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
"authorized_official_telephone_number": "661-313-5503",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "0000078",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHSTAR",
"identifier": "550048",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NTP LICENSE",
"identifier": "1000062",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.