Organization Active NPI

Jeter & Associates

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Dallas, TX
National Provider Identifier
1487158341
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
5700 Issued in TX
Legal business name
JETER & ASSOCIATES
Practice address
4506 Bradshaw St
Dallas, TX 75215-4429
Phone
(214) 280-4496
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. David Paul Jeter Sr., LCDCNPI 1487157350
Title
Counselor
Phone
(214) 280-4496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 5700 TX Primary

Addresses

Primary practice location

4506 Bradshaw St
Dallas, TX 75215-4429

Mailing address

4506 Bradshaw St
Dallas, TX 75215-4429
Phone (214) 280-4496

Other names 1

  • Jeter & Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1487158341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 BRADSHAW ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154429",
            "telephone_number": "214-280-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 BRADSHAW ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154429",
            "telephone_number": "214-280-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "214-280-4496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "TX",
            "license": "5700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeter & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 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.