NPIMap

Organization Active NPI

City of Dallas

Doing business as West Dallas Health Center

  • Public Health or Welfare Agency
  • Dallas, TX
National Provider Identifier
1245284652
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF DALLAS
Doing business as
West Dallas Health Center
Practice address
2828 Fish Trap Rd
Dallas, TX 75212-4937
Phone
(214) 670-1752
NPI assigned
May 20, 2006
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Mr. Timothy Brandon-Gray FullerNPI 1851250757
Title
Owner
Phone
(706) 294-6765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2828 Fish Trap Rd
Dallas, TX 75212-4937

Mailing address

2828 Fish Trap Rd
Dallas, TX 75212-4937
Phone (214) 670-1752

Other names 1

  • West Dallas Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Dallas10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1245284652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FISH TRAP RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124937",
            "telephone_number": "214-670-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 FISH TRAP RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124937",
            "telephone_number": "214-670-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BRANDON-GRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-294-6765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Dallas Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2026; 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.