Active NPI
Eagle Advantage Academy, Inc.
- Local Education Agency (LEA)
- Dallas, TX
National Provider Identifier
1659517829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 057806
- Legal business name
- EAGLE ADVANTAGE ACADEMY, INC.
- Practice address
- 4011 Joseph Hardin Dr Ste F
Dallas, TX 75236-1507 - Phone
- (214) 276-5846
- Fax
- (214) 467-4499
- NPI assigned
- Dec 18, 2008
- 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. Allen Beck, PHD
- Title
- Ceo/Superindentant
- Phone
- (214) 276-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 057806 | TX | Primary |
Addresses
Primary practice location
4011 Joseph Hardin Dr Ste F
Dallas, TX 75236-1507
Mailing address
4011 Joseph Hardin Dr Ste F
Dallas, TX 75236-1507
Phone (214) 276-5846
Other names 1
- advantage academy
National Provider Directory
National Provider DirectoryLocations
4011 Joseph Hardin Dr
Ste F
Dallas, TX 75236
Phone (214) 276-5846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229558400000",
"number": "1659517829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 JOSEPH HARDIN DR STE F",
"city": "DALLAS",
"state": "TX",
"postal_code": "752361507",
"telephone_number": "214-276-5846",
"fax_number": "214-467-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 JOSEPH HARDIN DR STE F",
"city": "DALLAS",
"state": "TX",
"postal_code": "752361507",
"telephone_number": "214-276-5846",
"fax_number": "214-467-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE ADVANTAGE ACADEMY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "CEO/SUPERINDENTANT",
"authorized_official_telephone_number": "214-276-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "TX",
"license": "057806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "advantage academy",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.