Jacqueline Da Silva Stephen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H5683 Issued in TX

Practice address

2835 Grand Ave
Dallas, TX 75215-1647

Phone

(214) 421-1783

Fax

(214) 421-8224

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdasilvastephen225479@direct.sw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Mercy East Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Chesterfield, MO
  • NPI 1134673148
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healing Hands Ministries Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1306287529
  NPD (past)
• Healing Hands Ministries Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1427568658
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1659595403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151647",
            "telephone_number": "214-421-1783",
            "fax_number": "214-421-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151647",
            "telephone_number": "214-421-1783",
            "fax_number": "214-421-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA STEPHEN",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173130-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swati D'Souza, M.D.
• Wyatt D'Spain, MD
• D&a Dental, PLLC
• D&D Care Homes Texas LLC
• Thiago Da Silva Paranhos Pereira, MD
• Alexandre Larue Da Silva, M.D.
• Monica Da Silva, M. D.
• Da-Shu Jiang M.D., P.a.
• Joseph Lin Da
• Reynaldo Daba II, ACNP-BC

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.