Southwest Community Development Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHWEST COMMUNITY DEVELOPMENT CORPORATION

Practice address

1117 Germany Dr
Cedar Hill, TX 75104-2369

Phone

(909) 263-7722

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Jordan

Title

President

Phone

(909) 263-7722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1215624663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 PEYTON DR UNIT 1345",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097156",
            "telephone_number": "909-263-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 GERMANY DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042369",
            "telephone_number": "909-263-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-263-7722"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemma M Sookprasong, DO
• Ronald Sorto
• Mallory Celeste Soto, FNP-C
• Omar Soto, DDS
• South Dallas Infusion (Vital Care of South Dallas)
• Kirtland John Speaks, D.C.
• Spectral Health Providers
• Gayla Shayree Spencer
• Robert James Spicer, MD
• Stability Healthcare Inc.

• Dental Clinic/Center in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.