NPIMap

Organization Active NPI

Greater Dallas Healthcare Enterprises

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1689073470
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GREATER DALLAS HEALTHCARE ENTERPRISES
Practice address
6301 Gaston Ave
Suite 190P
Dallas, TX 75214-3922
Phone
(469) 619-6550
Fax
(469) 334-0507
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Mr. Timothy Adams
Title
SVP Regional Operations, Tenet
Phone
(469) 893-2563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6301 Gaston Ave
Suite 190P
Dallas, TX 75214-3922

Mailing address

PO Box 840711
Dallas, TX 75284-0711
Phone (469) 619-6550

National Provider Directory

National Provider Directory
Tax ID family
Greater Dallas Healthcare Enterprises12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6301 Gaston Ave
Ste 190P
Dallas, TX 75214
Phone (214) 810-3553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1689073470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840711",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840711",
            "telephone_number": "469-619-6550",
            "fax_number": "469-334-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "address_2": "SUITE 190P",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "469-619-6550",
            "fax_number": "469-334-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DALLAS HEALTHCARE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "469-893-2563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Jun 7, 2016; 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.