NPIMap

Organization Active NPI

Specialty Clinics of Dallas

  • Multi-Specialty Clinic/Center
  • Desoto, TX
National Provider Identifier
1790179802
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
AP125211 Issued in TX
Legal business name
SPECIALTY CLINICS OF DALLAS
Practice address
2707 Bolton Boone Dr Ste 100
Desoto, TX 75115-2077
Phone
(469) 206-2630
Fax
(214) 730-4281
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Mrs. Margaret Martinez
Title
Practice Administrator
Phone
(469) 206-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AP125211 TX Primary

Addresses

Primary practice location

2707 Bolton Boone Dr Ste 100
Desoto, TX 75115-2077

Mailing address

2707 Bolton Boone Dr Ste 100
Desoto, TX 75115-2077
Phone (469) 206-2630

Other names 1

  • Excel Family Medicine & Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
Dennis Ochei MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/73872

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": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1790179802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BOLTON BOONE DR STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152077",
            "telephone_number": "469-206-2630",
            "fax_number": "214-730-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BOLTON BOONE DR STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152077",
            "telephone_number": "469-206-2630",
            "fax_number": "214-730-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CLINICS OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-206-2630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "AP125211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Family Medicine & Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.