Blaha Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLAHA FAMILY MEDICAL CLINIC

Practice address

3626 N Hall St
Ste 600
Dallas, TX 75219-5105

Phone

(214) 219-3260

Fax

(214) 219-3329

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Blaha, N.P., D.C.NPI 1659399749

Title

Owner

Phone

(214) 219-3260

Specialties & licenses 2

Addresses

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.

• Ronald J Blaha, D.C., RMT, RN

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1659399749
  Authorized official Same address or phone

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1538574603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195105",
            "telephone_number": "214-219-3260",
            "fax_number": "214-219-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195105",
            "telephone_number": "214-219-3260",
            "fax_number": "214-219-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAHA FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-219-3260",
        "authorized_official_credential": "N.P., D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "645587",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Blackwell
• Gilbert Chad Blackwell, D.C., D.A.B.C.O., NP
• Isabela Blackwell
• John Blackwell
• Hannah Blackwood
• Ronald J Blaha, D.C., RMT, RN
• Ziad Blaik, MD
• Brittany Blair, RN, SRNA
• Dana Moray Blair, CPNP
• Donald Levester Blair II, M.D.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.