Active NPI
Golden Gate Adult Rehabilitation Ministry
- Recovery Care Clinic/Center
- Dallas, TX
National Provider Identifier
1164043196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Legal business name
- GOLDEN GATE ADULT REHABILITATION MINISTRY
- Practice address
- 1128 Reverend CBT Smith St
Dallas, TX 75203-1536 - Phone
- (214) 943-5010
- NPI assigned
- Apr 30, 2020
- 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
- Obie Bussey
- Title
- Program Director
- Phone
- (214) 943-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | Primary |
Addresses
Primary practice location
1128 Reverend CBT Smith St
Dallas, TX 75203-1536
Mailing address
1128 Reverend CBT Smith St
Dallas, TX 75203-1536
Phone (214) 943-5010
Other names 1
- Adult Rehabilitation Ministries (ARM)
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | director@armdallas.org |
National Provider Directory
National Provider DirectoryLocations
1128 Reverend Cbt Smith St
Dallas, TX 75203
Phone (214) 942-5545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588204800000",
"number": "1164043196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 REVEREND CBT SMITH ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031536",
"telephone_number": "214-943-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 REVEREND CBT SMITH ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031536",
"telephone_number": "214-943-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN GATE ADULT REHABILITATION MINISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A",
"authorized_official_last_name": "BUSSEY",
"authorized_official_first_name": "OBIE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "214-943-5010"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "director@armdallas.org",
"affiliation": "N",
"endpointDescription": "Program Director Email",
"address_1": "1128 Reverend Cbt Smith St",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752031536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Adult Rehabilitation Ministries (ARM)",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.