NPIMap

Organization Active NPI

First Step Denton County Outreach Program

  • Clinic/Center
  • Denton, TX
National Provider Identifier
1558649996
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
16645 Issued in TX
Legal business name
FIRST STEP DENTON COUNTY OUTREACH PROGRAM
Practice address
1310 Teasley LN
Denton, TX 76205-7946
Phone
(940) 484-7837
Fax
(940) 484-7835
NPI assigned
Aug 3, 2011
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Kyle E Culberson
Title
Program Director
Phone
(940) 484-7837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 16645 TX Primary

Addresses

Primary practice location

1310 Teasley LN
Denton, TX 76205-7946

Mailing address

1310 Teasley LN
Denton, TX 76205-7946
Phone (940) 484-7837

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidTX

Other names 1

  • FSOP Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
First Step Denton County Outreach Program LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, 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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1558649996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "940-484-7837",
            "fax_number": "940-484-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "940-484-7837",
            "fax_number": "940-484-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP DENTON COUNTY OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "CULBERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "940-484-7837"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "16645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSOP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.