Organization Active NPI

Origins Birth and Wellness Dallas

  • Birthing Clinic/Center
  • Dallas, TX
National Provider Identifier
1477047116
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Amethyst Fagan Tate, CPMNPI 1447744198
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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address midwifedallas@originsbirth.com

National Provider Directory

National Provider Directory

Locations

3100 Swiss Ave
Dallas, TX 75204
Phone (214) 821-8190

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.