Active NPI
Dalia Fuentes
- Case Manager/Care Coordinator
- Dallas, TX
National Provider Identifier
1225427636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 53652
- Practice address
- 3610 Pipestone Rd
Dallas, TX 75212-6109 - Phone
- (214) 559-3946
- Fax
- (214) 559-2827
- NPI assigned
- Jan 22, 2015
- Last updated
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 53652 | TX | Primary |
Addresses
Primary practice location
3610 Pipestone Rd
Dallas, TX 75212-6109
Mailing address
3610 Pipestone Rd
Dallas, TX 75212-6109
Phone (214) 559-3946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53652 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Inc. Dba Bryan's House | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1225427636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 PIPESTONE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752126109",
"telephone_number": "214-559-3946",
"fax_number": "214-559-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 PIPESTONE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752126109",
"telephone_number": "214-559-3946",
"fax_number": "214-559-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "DALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "53652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.