Active NPI
Ajk Medical Services
- Specialist
- Dallas, TX
National Provider Identifier
1245540079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K8265
- Legal business name
- AJK MEDICAL SERVICES
- Practice address
- 6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400 - Phone
- (972) 690-0550
- Fax
- (972) 690-3306
- NPI assigned
- Oct 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Michael Klymiuk, MD
- Title
- Owner
- Phone
- (972) 690-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K8265 | TX | Primary |
Addresses
Primary practice location
6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400
Mailing address
6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400
Phone (972) 690-0550
Other names 1
- WellSpring Pain Center
National Provider Directory
National Provider Directory- Tax ID family
- Ajk Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Dallas, TX
- NPI 1215208905
Locations
6750 Hillcrest Plaza Dr
Ste 215
Dallas, TX 75230
Phone (817) 312-3917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1245540079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 HILLCREST PLAZA DR",
"address_2": "SUITE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301400",
"telephone_number": "972-690-0550",
"fax_number": "972-690-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 HILLCREST PLAZA DR",
"address_2": "SUITE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301400",
"telephone_number": "972-690-0550",
"fax_number": "972-690-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJK MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "KLYMIUK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-690-0550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "K8265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WellSpring Pain 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 Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.