NPIMap

Organization Active NPI

AIDS Arms, Inc.

Doing business as Prism Health North Texas

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1295547644
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AIDS ARMS, INC.
Doing business as
Prism Health North Texas
Practice address
3910 Gaston Ave Ste 175
Dallas, TX 75246-1501
Phone
(214) 257-1082
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
John Thomas Carlo, MDNPI 1578585386
Title
Ceo
Phone
(214) 521-5191

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3910 Gaston Ave Ste 175
Dallas, TX 75246-1501

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
O20250227001412 TX Part A Provider - Federally Qualified Health Center (FQHC) 7719940774 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295547644. Details of each certification follow.

Federally qualified health center certification: CCN 971047

Legal name
AIDS ARMS, INC.
Doing business as
PRISM HEALTH NORTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 19, 2025
Last certification
Feb 19, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3910 Gaston Ave
Ste 175
Dallas, TX 75246-1501

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.

Locations

3910 Gaston Ave
Ste 175
Dallas, TX 75246
Phone (214) 257-1082

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 EmployeeSE Aug 1, 2024 100%
Terri Kimmell Individual W-2 Managing EmployeeManager Payer Credentialing Aug 1, 2024 100%

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": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1295547644",
    "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": "3910 GASTON AVE STE 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461501",
            "telephone_number": "214-257-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS ARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "CARLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-521-5191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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.