Individual provider Active NPI

Connie Janel Speece, D.O.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1225126972
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9914 Issued in TX
Practice address
10622 Garland Rd
Dallas, TX 75218-2639
Phone
(214) 321-2673
Fax
(214) 321-4329
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9914 TX Primary

Addresses

Primary practice location

10622 Garland Rd
Dallas, TX 75218-2639

Mailing address

10622 Garland Rd
Dallas, TX 75218-2639
Phone (214) 321-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000857 TX Practitioner - Osteopathic Manipulative MedicinePractitioner - General Practice 8426158924 Practice locations: Mequite, TX

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1910 La Prada Pkwy
Mesquite, TX 75150-1368
Phone (214) 321-2673

1910 Laprada Dr
Mesquite, TX 75150-1368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Carey S. Penniston, DO, PA Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225126972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182639",
            "telephone_number": "214-321-2673",
            "fax_number": "214-321-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182639",
            "telephone_number": "214-321-2673",
            "fax_number": "214-321-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEECE",
        "first_name": "CONNIE",
        "middle_name": "JANEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.