Active NPI
Dallas Restoration Services
- Community/Behavioral Health Agency
- Edmond, OK
National Provider Identifier
1205198074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DALLAS RESTORATION SERVICES
- Practice address
- 920 S Boulevard Ste 103
Edmond, OK 73034-4731 - Phone
- (405) 406-4803
- NPI assigned
- Jun 8, 2012
- Last updated
- Jun 8, 2012
- 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
- Mr. Wayne Dallas Sr.
- Title
- Clinical Director
- Phone
- (405) 677-2767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
920 S Boulevard Ste 103
Edmond, OK 73034-4731
Mailing address
920 S Boulevard Ste 103
Edmond, OK 73034-4731
Phone (405) 406-4803
National Provider Directory
National Provider Directory- Tax ID family
- Agape Behavioral Center
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Case Management Agency
- Tishomingo, OK
- NPI 1407241748
-
- Community/Behavioral Health Agency
- Ravia, OK
- NPI 1194122275
Locations
920 S Boulevard
Ste 103
Edmond, OK 73034
Phone (405) 406-4803
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Counselor
- Edmond, OK
- NPI 1598092819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339113600000",
"number": "1205198074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S BOULEVARD STE 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344731",
"telephone_number": "405-406-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S BOULEVARD STE 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344731",
"telephone_number": "405-406-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS RESTORATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A",
"authorized_official_last_name": "DALLAS",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "405-677-2767",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Megan R. Dailey
- Kaushik Daji
- Samantha Dale, LPC
- Dallas Family Services (Dallas Restorative Family Services)
- Dallas Family Services (Dallas Restorative Family Services)
- Ebony Iman Dallas, MFA
- Viola Dallas, LADC UNDER SUPERVISI
- Wayne Franklin Dallas II, B.F.A.
- Rene Marie Daman, PT, BCBA, LBA
- Keren Elise Damarism., M.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.