NPIMap

Organization Active NPI

AIDS Arms, Inc.

Doing business as Prism Health North Texas

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1154017242
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AIDS ARMS, INC.
Doing business as
Prism Health North Texas
Practice address
2801 Lemmon Ave Ste 200
Dallas, TX 75204-2201
Phone
(469) 687-3200
NPI assigned
Apr 12, 2023
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
John Thomas Carlo, MDNPI 1578585386
Title
Chief Executive Officer
Phone
(214) 521-5191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

2801 Lemmon Ave Ste 200
Dallas, TX 75204-2201

Mailing address

3900 Junius St Ste 300
Dallas, TX 75246-1602
Phone (214) 521-5191

Other names 1

  • Prism Health North Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241101001135 TX Part A Provider - Federally Qualified Health Center (FQHC) 7719940774 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154017242. Details of each certification follow.

Federally qualified health center certification: CCN 971028

Legal name
AIDS ARMS, INC.
Doing business as
PRISM HEALTH NORTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 31, 2024
Last certification
Oct 31, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2801 Lemmon Ave
Ste 200
Dallas, TX 75204-2201

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
AIDS Arms Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Christian Individual Corporate OfficerBoard Member Aug 1, 2024 100%
John T Carlo Individual W-2 Managing EmployeeCeo Aug 1, 2024 100%
Michael a Aguilar Individual Corporate OfficerBoard Member Aug 1, 2024 100%
W-2 Managing EmployeeSenior Director Rvenue Cycle Aug 1, 2024 100%
Chris Clark Individual Corporate OfficerBoard Member Aug 1, 2024 100%
Terri Kimmell Individual Corporate OfficerBoard Member Aug 1, 2024 100%
W-2 Managing EmployeeCredentialing Manager Aug 1, 2024 100%
Lionel Hillard Individual Corporate OfficerBoard Member Aug 1, 2024
Jeremy Benson Individual Corporate OfficerBoard Member Aug 1, 2024 100%
Billy Lane Individual Corporate OfficerBoard Chairman Aug 1, 2024 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1154017242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461602",
            "telephone_number": "214-521-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042201",
            "telephone_number": "469-687-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS ARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CARLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-521-5191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Health North Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prism Health North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.