NPIMap

Organization Active NPI

Mesquite Medical Clinic

  • Clinic/Center
  • Mesquite, TX
National Provider Identifier
1275262057
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MESQUITE MEDICAL CLINIC
Practice address
5115 N Galloway Ave Ste 203
Mesquite, TX 75150-7535
Phone
(214) 660-8554
Fax
(214) 660-8634
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Adewumi Bakare, PA-CNPI 1194961904
Title
Owner
Phone
(214) 516-1495

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

5115 N Galloway Ave Ste 203
Mesquite, TX 75150-7535

Mailing address

5115 N Galloway Ave Ste 203
Mesquite, TX 75150-7535
Phone (214) 660-8554

National Provider Directory

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": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1275262057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE STE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507535",
            "telephone_number": "214-660-8554",
            "fax_number": "214-660-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE STE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507535",
            "telephone_number": "214-660-8554",
            "fax_number": "214-660-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BAKARE",
        "authorized_official_first_name": "ADEWUMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-516-1495",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.