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

Last updated

Aug 22, 2014By the provider in NPPES

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, MDNPI 1457375339

Title

President

Phone

(972) 216-9511

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Adolphus V Gist, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1457375339
  Authorized official Same address or phone
• 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": [],
    "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 (Texas Star Ambulance)

• 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.