Active NPI
John S. Ousley, DDS, MSD, PA
- Pediatric Dentistry
- Dallas, TX
National Provider Identifier
1366623175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8346
- Legal business name
- JOHN S. OUSLEY, DDS, MSD, PA
- Practice address
- 7005 Pastor Bailey
Suite 100 a
Dallas, TX 75237-2649 - Phone
- (972) 296-1835
- Fax
- (972) 296-1867
- NPI assigned
- Nov 20, 2007
- 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. John S Ousley, DDS, MSD
- Title
- President
- Phone
- (972) 296-1835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8346 | TX | Primary |
Addresses
Primary practice location
7005 Pastor Bailey
Suite 100 a
Dallas, TX 75237-2649
Mailing address
7005 Pastor Bailey
Suite 100 a
Dallas, TX 75237-2649
Phone (972) 296-1835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09077840 | Medicaid | TX | |
| 009848501 | Medicaid | TX |
Other names 1
- Jon S. Ousley DDS, MSD, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1366623175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 PASTOR BAILEY",
"address_2": "SUITE 100 A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372649",
"telephone_number": "972-296-1835",
"fax_number": "972-296-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 PASTOR BAILEY",
"address_2": "SUITE 100 A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372649",
"telephone_number": "972-296-1835",
"fax_number": "972-296-1867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN S. OUSLEY, DDS, MSD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "OUSLEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-296-1835",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "8346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09077840",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009848501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jon S. Ousley DDS, MSD, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.