City of Grand Prairie

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF GRAND PRAIRIE

Practice address

1525 Arkansas LN
Grand Prairie, TX 75052-7401

Phone

(972) 237-8300

Fax

(972) 237-8309

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Erika V Soto

Title

Compliance Officer

Phone

(972) 237-8388

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Grand Prairie Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1194728402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ARKANSAS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527401",
            "telephone_number": "972-237-8300",
            "fax_number": "972-237-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ARKANSAS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527401",
            "telephone_number": "972-237-8300",
            "fax_number": "972-237-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRAND PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "972-237-8388"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "300276",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "AMB559",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000746001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Prairie Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grand Prairie Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Amaya Clark, MS. BCBA, LBA
• Chantell Lee' Patrice Clark
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• Land Ambulance in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.