NPIMap

Organization Active NPI

Healthsource FSM & C

  • Multi-Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1730960501
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHSOURCE FSM & C
Practice address
211 E Clarendon Dr
Dallas, TX 75203-2914
Phone
(214) 941-4903
Fax
(214) 941-4904
NPI assigned
Oct 9, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Gregory Dewayne Taylor, DCNPI 1154449874
Title
Clinic Owner
Phone
(214) 941-4903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

211 E Clarendon Dr
Dallas, TX 75203-2914

Mailing address

211 E Clarendon Dr
Dallas, TX 75203-2914
Phone (214) 941-4903

Other names 1

  • Healthsource Family & Sports Medicine/ Taylin Health Care Mngt. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1730960501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E CLARENDON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032914",
            "telephone_number": "214-941-4903",
            "fax_number": "214-941-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CLARENDON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032914",
            "telephone_number": "214-941-4903",
            "fax_number": "214-941-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE FSM & C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "214-941-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource Family & Sports Medicine/ Taylin Health Care Mngt.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Healthsource Family & Sports Medicine/ Taylin Health Care Mngt.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 10, 2023; 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.