Dallas County Hospital District

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DALLAS COUNTY HOSPITAL DISTRICT

Doing business as

Parkland Peritoneal Dialysis Clinic

Practice address

4201 Brook Spring Dr BLDG 2
Dallas, TX 75224-4968

Phone

(214) 266-4050

NPI assigned

Jan 28, 2020

Last updated

Dec 7, 2022By 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

Frederick Cerise

Title

President and Chief Executive Offic

Phone

(214) 590-8006

Specialties & licenses 1

Addresses

Other names 1

• Parkland Peritoneal Dialysis Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Parkland Peritoneal Dialysis ClinicCCN 453519

Ownership

Non-profit

Certified

Dec 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dallas County Hospital District

Dialysis stations

5

Tax ID family

Dallas County Hospital Dist95 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dallas County Hospital District

  dba Southeast Dallas Health Center

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1447288907
  NPD tax ID
• Dallas County Hospital District

  dba Palomino Place

  • Skilled Nursing Facility
  • Mesquite, TX
  • NPI 1447881974
  NPD tax ID
• Dallas County Hospital District

  dba Hatcher Station Health Center Pharmacy

  • Clinic Pharmacy
  • Dallas, TX
  • NPI 1457478083
  NPD tax ID
• Dallas County Hospital District

  dba Vickery Acute Response Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1467811554
  NPD tax ID
• Dallas County Hospital District

  dba deHaro-Saldivar Health Center

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1477597300
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Fort Worth, TX
  • NPI 1497309397
  NPD tax ID
• Dallas County Hospital District

  dba deHaro-Saldivar Women's Health Center

  • Ambulatory Family Planning Facility
  • Dallas, TX
  • NPI 1497822779
  NPD tax ID
• Dallas County Hospital District

  dba E. Carlyle Smith, Jr. Women's Health Center

  • Women's Health Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1528334216
  NPD tax ID
• Dallas County Hospital District

  dba CV Roman Women's Health Center

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188
  NPD tax ID
• Dallas County Hospital District

  dba Parkland Central Fill

  • Pharmacy
  • Dallas, TX
  • NPI 1558632489
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Gainesville, TX
  • NPI 1588218200
  NPD tax ID
• Dallas County Hospital District

  dba Williamsburg Village Healthcare Campus

  • Skilled Nursing Facility
  • Desoto, TX
  • NPI 1629062369
  NPD tax ID

All facility ownership & control disclosures 41

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1619508728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BROOK SPRING DR BLDG 2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244968",
            "telephone_number": "214-266-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "CERISE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "214-590-8006"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Peritoneal Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas County Hospital District (deHaro-Saldivar Women's Health Center)
• Dallas County Hospital District (WISH Campus)
• Dallas County Hospital District (Vickery Women's Health Center)
• Dallas County Hospital District (CV Roman Women's Health Center)
• Dallas County Hospital District (Parkland Central Fill)
• Dallas County Hospital District (Anderson Clinic Pharmacy)
• Dallas County Hospital District (Center for Geriatric Care & Healthy Aging)
• Dallas County Hospital District (COPC Pharmacy Southeast Campus)
• Dallas County Hospital District (Physician and Other Providers)
• Dallas County Hospital District (Parkland Central Fill)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.