NPIMap

Organization Active NPI

AIDS Arms, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1285320382
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AIDS ARMS, INC.
Practice address
4004 Worth St
Dallas, TX 75246-1607
Phone
(214) 623-6830
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
John Thomas Carlo, MD
Title
Chief Executive Officer
Phone
(214) 521-5191

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

4004 Worth St
Dallas, TX 75246-1607

Mailing address

3900 Junius St Ste 300
Dallas, TX 75246-1602
Phone (214) 521-5191

Other names 1

  • Prism Health North Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903001350 TX Part A Provider - Federally Qualified Health Center (FQHC) 7719940774 Practice locations: Dallas, TX

Federally qualified health center certification: CCN 971020

Legal name
AIDS ARMS, INC.
Doing business as
PRISM HEALTH NORTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2024
Last certification
Aug 30, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4004 Worth St
Ste 100
Dallas, TX 75246-1638

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
AIDS Arms Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John T Carlo Individual W-2 Managing EmployeeCeo Aug 1, 2024 100%
Michael a Aguilar Individual W-2 Managing EmployeeSenior Director of Revenue Cycle Aug 1, 2024 100%
Terri Kimmell Individual W-2 Managing EmployeeCredentialing Manager Aug 1, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1285320382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461602",
            "telephone_number": "214-521-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 WORTH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461607",
            "telephone_number": "214-623-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS ARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CARLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-521-5191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Health North Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prism Health North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.