NPIMap

Organization Active NPI

Young Men's Christian Association of Metropolitan Dallas

Doing business as YMCA of Metropolitan Dallas

  • Health Educator
  • Irving, TX
National Provider Identifier
1164970745
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN DALLAS
Doing business as
YMCA of Metropolitan Dallas
Practice address
1621 W Walnut Hill LN
Irving, TX 75038
Phone
(214) 880-9622
Fax
(214) 871-3014
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Curt Hazelbaker
Title
President and Ceo
Phone
(800) 269-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

1621 W Walnut Hill LN
Irving, TX 75038

Mailing address

601 N Akard St
Dallas, TX 75201-3303
Phone (214) 880-9622

Other names 1

  • YMCA of Metropolitan Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

1621 W Walnut Hill Ln
Irving, TX 75038
Phone (214) 880-9622

Practitioners & affiliated clinicians

Practitioners 5

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": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1164970745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N AKARD ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013303",
            "telephone_number": "214-880-9622",
            "fax_number": "972-560-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W WALNUT HILL LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "214-880-9622",
            "fax_number": "214-871-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HAZELBAKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "800-269-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YMCA of Metropolitan Dallas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YMCA of Metropolitan Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.