Jupiter Medical Services, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M6739 Issued in TX

Legal business name

JUPITER MEDICAL SERVICES, PA

Practice address

3453 Saint Francis Ave
Suite 100
Dallas, TX 75228-7199

Phone

(214) 660-1833

Fax

(214) 324-5229

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Prakash Malviya, MD

Title

Member

Phone

(214) 660-1833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1194018705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287199",
            "telephone_number": "214-660-1833",
            "fax_number": "214-324-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287199",
            "telephone_number": "214-660-1833",
            "fax_number": "214-324-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MALVIYA",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-660-1833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katharina Jungnitsch
• Michael John Madison Junior
• Marisa M Juntilla, MD, PHD
• Rohan Kumar Jupelly
• Jupiter Dental Group PLLC (Kids Dental Zone)
• Gay E. Jurgens, M.S.S.W.
• Christopher Stephen Jurma, PHARMD
• Jane Ossa Jurugo, MS, RDN, LD
• Daniel Ramirez Jusayan
• Zulfiqar M Jussa, MD

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.