Active NPI
Origins Birth and Wellness Dallas
- Birthing Clinic/Center
- Dallas, TX
National Provider Identifier
1477047116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- ORIGINS BIRTH AND WELLNESS DALLAS
- Practice address
- 3100 Swiss Ave
Dallas, TX 75204 - Phone
- (214) 228-1392
- NPI assigned
- Jun 17, 2018
- Last updated
- Apr 17, 2019
- 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
- Amethyst Fagan Tate, CPM
- Title
- Midwife
- Phone
- (214) 228-1392
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99337 | TX | |
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
3100 Swiss Ave
Dallas, TX 75204
Mailing address
3100 Swiss Ave
Dallas, TX 75204-6025
Phone (214) 228-1392
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwifedallas@originsbirth.com |
National Provider Directory
National Provider DirectoryLocations
3100 Swiss Ave
Dallas, TX 75204
Phone (214) 821-8190
Interoperability endpoints
- midwifedallas@originsbirth.com
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.
-
- Midwife
- Dallas, TX
- NPI 1447744198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555459200000",
"number": "1477047116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046025",
"telephone_number": "214-228-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75204",
"telephone_number": "214-228-1392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGINS BIRTH AND WELLNESS DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-17",
"last_updated": "2019-04-17",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "AMETHYST",
"authorized_official_middle_name": "FAGAN",
"authorized_official_title_or_position": "MIDWIFE",
"authorized_official_telephone_number": "214-228-1392",
"authorized_official_credential": "CPM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "TX",
"license": "99337",
"primary": false
},
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwifedallas@originsbirth.com",
"affiliation": "N",
"address_1": "3100 Swiss Ave",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75204",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.