NPIMap

City of Dallas

Organization Active NPI Public Health or Welfare Agency · Dallas, TX

NPI 1245284652 · NPPES record last updated Jul 27, 2026

Key facts

NPI
1245284652
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
CITY OF DALLAS
Practice address
2828 Fish Trap Rd
Dallas, TX 75212-4937
Phone
(214) 670-1752
NPI assigned
May 20, 2006
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 9

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

National Provider Directory

Tax ID family
City of Dallas (10 organizations share this tax ID)

Locations

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
1379331-03MedicaidTX

Other names

  • West Dallas Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2026.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1379331-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Dallas Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

All providers in Dallas, TX · Public Health or Welfare Agency in Texas

Sources for this page

Verify at the official NPI Registry.