NPIMap

Organization Active NPI

Baylor Community Care- Citysquare

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1669719282
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
07675 Issued in TX
Legal business name
BAYLOR COMMUNITY CARE- CITYSQUARE
Practice address
2835 Grand Ave
Dallas, TX 75215-1647
Phone
(214) 421-1783
Fax
(214) 421-8224
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Leigh Allen
Title
Practice Administrator
Phone
(214) 421-1783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 07675 TX Primary

Addresses

Primary practice location

2835 Grand Ave
Dallas, TX 75215-1647

Mailing address

2835 Grand Ave
Dallas, TX 75215-1647
Phone (214) 421-1783

National Provider Directory

National Provider Directory
Tax ID family
BSW Advanced Heart Failure77 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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1669719282",
    "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": {
        "organization_name": "BAYLOR COMMUNITY CARE- CITYSQUARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-421-1783"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "07675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2013; 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.