Sequoyah Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEQUOYAH CARE PLLC

Practice address

828 Kirkwood Dr
Dallas, TX 75218-2208

Phone

(972) 216-9511

Fax

(972) 216-9580

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Adolphus V Gist, MD

Title

President

Phone

(972) 216-9511

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stephen M Brown, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1225074453
  NPD (past)

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1740419340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851438",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851438",
            "telephone_number": "972-216-9511",
            "fax_number": "972-216-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 KIRKWOOD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182208",
            "telephone_number": "972-216-9511",
            "fax_number": "972-216-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "ADOLPHUS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-216-9511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0A5058",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168406007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Sepulvado, MCD CCC-SLP
• Ricardo Sepulveda
• Sequoia, Inc.
• Sequoia, Inc.
• Sequoia, Inc.
• Alyssa Marie Serafin
• Seraphim Mental Wholeness
• Serenecranial Prosthesis Solutions LLC
• Serenity Counseling Group LLC
• Serenity EMS LLC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.