North Dallas Drug Rehabilitation Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

TX10127M Issued in TX

Legal business name

NORTH DALLAS DRUG REHABILITATION CENTER

Practice address

1606 S I 35 Ste 101
Carrollton, TX 75006-7478

Phone

(972) 446-0972

NPI assigned

Apr 28, 2011

Last updated

Mar 7, 2023By 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

Mr. Michael S Aceves Sr., LCDC

Title

Sponsor

Phone

(972) 446-0972

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609167469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 S I 35 STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750067478",
            "telephone_number": "972-446-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S I 35 STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750067478",
            "telephone_number": "972-446-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS DRUG REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ACEVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SPONSOR",
        "authorized_official_telephone_number": "972-446-0972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "TX10127M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMHSA/TEXAS DEPT. OF STATE HEALTH SERVICES",
            "identifier": "TX10127M",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Dallas Holistic Health Center, Inc.
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• North Star CN, LP (North Star Diagnostic Imaging)
• North Texas Bariatric and General Surgery, P.a.

• Methadone Clinic in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.