Individual provider Active NPI

David Kwame Dapaah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1659640415
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1113490 Issued in TX
Practice address
4215 Gannon LN
Dallas, TX 75237-2914
Phone
(972) 283-9090
Fax
(972) 499-0367
NPI assigned
Dec 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308726-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1113490 TX Primary

Addresses

Primary practice location

4215 Gannon LN
Dallas, TX 75237-2914

Mailing address

806 Birdie Dr
Allen, TX 75013-5109
Phone (469) 416-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103001076 TX Practitioner - Nurse Practitioner 1557718186 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308726-1NYMDLicensed Practical Nurse
1113490TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority Psychiatric/Mental Health CurrentSince Oct 9, 2023 Accepting new patients
Southern Area Behavioral Healthcare LLC CurrentSince Oct 9, 2023 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Jan 10, 2024 Accepting new patients
North Texas Behavioral Health Authority PastSince Apr 24, 2022 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

4215 Gannon Ln
Dallas, TX 75237
Phone (972) 283-9090

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1659640415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BIRDIE DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135109",
            "telephone_number": "469-416-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 GANNON LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372914",
            "telephone_number": "972-283-9090",
            "fax_number": "972-499-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPAAH",
        "first_name": "DAVID",
        "middle_name": "KWAME",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "308726-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1113490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.