Active NPI
Souren Chakmakjian, MD
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1144686601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D4949
- Practice address
- 3855 Branchfield Dr
Dallas, TX 75214-2949 - Phone
- (214) 821-8895
- NPI assigned
- Jan 13, 2016
- Last updated
- Jan 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D4949 | TX | Primary |
Addresses
Primary practice location
3855 Branchfield Dr
Dallas, TX 75214-2949
Mailing address
3855 Branchfield Dr
Dallas, TX 75214-2949
Phone (214) 821-8895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4949 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1144686601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 BRANCHFIELD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142949",
"telephone_number": "214-821-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 BRANCHFIELD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142949",
"telephone_number": "214-821-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKMAKJIAN",
"first_name": "SOUREN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D4949",
"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 Jan 13, 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.