Active NPI
Adolescent and Young Adult Health and Wellness
- Pediatrics Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ADOLESCENT AND YOUNG ADULT HEALTH AND WELLNESS
- Practice address
- 16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910 - Phone
- (972) 733-6565
- Fax
- (972) 733-6564
- NPI assigned
- Sep 16, 2014
- Last updated
- Apr 25, 2017
- 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
- Dr. Dana Rubin-Remer, M.D.
- Title
- President
- Phone
- (972) 733-6565
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910
Mailing address
16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910
Phone (972) 733-6565
National Provider Directory
National Provider DirectoryLocations
16980 Dallas Pkwy
Ste 204
Dallas, TX 75248
Phone (972) 733-6565
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.
-
- Pediatric Adolescent Medicine Physician
- Dallas, TX
- NPI 1174632053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1558763086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16980 DALLAS PKWY STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481910",
"telephone_number": "972-733-6565",
"fax_number": "972-733-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16980 DALLAS PKWY STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481910",
"telephone_number": "972-733-6565",
"fax_number": "972-733-6564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADOLESCENT AND YOUNG ADULT HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "RUBIN-REMER",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-733-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.