NPIMap

Organization Active NPI

Dallas Challenge,Inc.

Doing business as Phoenix Project

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1194889774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2426-A Issued in TX
Legal business name
DALLAS CHALLENGE,INC.
Doing business as
Phoenix Project
Practice address
201 S Tyler St
Dallas, TX 75208-4934
Phone
(214) 942-5166
Fax
(214) 942-6006
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Israel Pena, LCDCNPI 1457504102
Title
Program Director
Phone
(214) 942-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2426-A TX Primary

Addresses

Primary practice location

201 S Tyler St
Dallas, TX 75208-4934

Mailing address

201 S Tyler St
Dallas, TX 75208-4934
Phone (214) 942-5166

Other identifiers 1

IdentifierTypeStateIssuer
126830TXOtherTXVALUEOPTIONS NORTHSTAR #

Other names 1

  • Phoenix Project Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas Challengeinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

201 S Tyler St
Dallas, TX 75208
Phone 2149425166 ext. 4621

Practitioners & affiliated clinicians

Practitioners 7

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194889774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S TYLER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084934",
            "telephone_number": "214-942-5166",
            "fax_number": "214-942-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S TYLER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084934",
            "telephone_number": "214-942-5166",
            "fax_number": "214-942-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CHALLENGE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "214-942-5166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "2426-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS NORTHSTAR #",
            "identifier": "126830TX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Project",
            "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 Aug 22, 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.

Verify at the official NPI Registry.