NPIMap

Organization Active NPI

Dallas Spinal Rehabilitation Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Dallas, TX
National Provider Identifier
1245248889
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
261QR0401X Issued in TX
Legal business name
DALLAS SPINAL REHABILITATION CENTER, INC.
Practice address
6161 Harry Hines Blvd
Suite 105
Dallas, TX 75235-5387
Phone
(214) 905-9555
Fax
(214) 905-9556
NPI assigned
Aug 3, 2006
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. C E McCoy
Title
Chairman of the Board Owner
Phone
(214) 905-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 261QR0401X TX Primary

Addresses

Primary practice location

6161 Harry Hines Blvd
Suite 105
Dallas, TX 75235-5387

Mailing address

6161 Harry Hines Blvd
Suite 105
Dallas, TX 75235-5387
Phone (214) 905-9555

National Provider Directory

National Provider Directory

Locations

6161 Harry Hines Blvd
Ste 105
Dallas, TX 75235
Phone (214) 905-0555

Practitioners & affiliated clinicians

Practitioners 6

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1245248889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 HARRY HINES BLVD",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355387",
            "telephone_number": "214-905-9555",
            "fax_number": "214-905-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 HARRY HINES BLVD",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355387",
            "telephone_number": "214-905-9555",
            "fax_number": "214-905-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SPINAL REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD  OWNER",
        "authorized_official_telephone_number": "214-905-9555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "261QR0401X",
            "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 Jul 19, 2007; 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.