Organization Active NPI

John S. Ousley, DDS, MSD, PA

  • Pediatric Dentistry
  • Dallas, TX
National Provider Identifier
1366623175
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8346 Issued in TX
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

Updated by the provider on Aug 14, 2008

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09077840MedicaidTX
009848501MedicaidTX

Other names 1

  • Jon S. Ousley DDS, MSD, Inc Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.