NPIMap

Organization Active NPI

Children'S Health System of Texas

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1356544803
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0143 Issued in TX
Legal business name
CHILDREN'S HEALTH SYSTEM OF TEXAS
Practice address
1250 W Mockingbird LN Ste 500
Dallas, TX 75247-6934
Phone
(214) 456-8800
Fax
(214) 456-8812
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Robert S Fries
Title
Chief Financial Officer
Phone
(214) 456-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X
Dental Clinic/Center 261QD0000X 0143 TX Primary

Addresses

Primary practice location

1250 W Mockingbird LN Ste 500
Dallas, TX 75247-6934

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-8800

Other practice location 1

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-8800

Other identifiers 3

IdentifierTypeStateIssuer
G60143OtherTXDENTAL GROUP CHIP
091295801MedicaidTX
138910815OtherTXDENTAL GROUP CSHCN

Other names 1

  • Children's Medical Center of Dallas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychological Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1250 W Mockingbird Ln
Ste 500
Dallas, TX 75247
Phone (214) 456-8800

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1356544803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-8800",
            "fax_number": "214-456-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W MOCKINGBIRD LN STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476934",
            "telephone_number": "214-456-8800",
            "fax_number": "214-456-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-8800",
            "fax_number": "214-456-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-456-7000"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "0143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL GROUP CHIP",
            "identifier": "G60143",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091295801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL GROUP CSHCN",
            "identifier": "138910815",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Medical Center of Dallas",
            "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 Nov 18, 2025; 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.