Active NPI
Jon S Ousley, DDS MSD
- Pediatric Dentistry
- Dallas, TX
National Provider Identifier
1689766438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8346
- Practice address
- 7005 Pastor Bailey Dr
Suite 100a
Dallas, TX 75237 - Phone
- (972) 296-1835
- Fax
- (972) 296-1867
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8346 | TX | Primary |
Addresses
Primary practice location
7005 Pastor Bailey Dr
Suite 100a
Dallas, TX 75237
Mailing address
7005 Pastor Bailey Dr
Suite 100a
Dallas, TX 75237
Phone (972) 296-1835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00948501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8346 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1689766438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 PASTOR BAILEY DR",
"address_2": "SUITE 100A",
"city": "DALLAS",
"state": "TX",
"postal_code": "75237",
"telephone_number": "972-296-1835",
"fax_number": "972-296-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 PASTOR BAILEY DR",
"address_2": "SUITE 100A",
"city": "DALLAS",
"state": "TX",
"postal_code": "75237",
"telephone_number": "972-296-1835",
"fax_number": "972-296-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUSLEY",
"first_name": "JON",
"middle_name": "S",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "8346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00948501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.