Active NPI
Joe Alex Deleon, M.D.
- Specialist
- Dallas, TX
National Provider Identifier
1457622300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C8945
- Practice address
- 11925 Oak Highland Dr
Dallas, TX 75243-9401 - Phone
- (972) 497-9050
- Fax
- (214) 276-1338
- NPI assigned
- Jan 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C8945 | TX | Primary |
Addresses
Primary practice location
11925 Oak Highland Dr
Dallas, TX 75243-9401
Mailing address
11925 Oak Highland Dr
Dallas, TX 75243-9401
Phone (972) 497-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8945 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1457622300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 OAK HIGHLAND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752439401",
"telephone_number": "972-497-9050",
"fax_number": "214-276-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 OAK HIGHLAND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752439401",
"telephone_number": "972-497-9050",
"fax_number": "214-276-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "JOE",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "C8945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.