Organization Active NPI

Allcare Family and Urgent Care Clinics, PA

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1790926376
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0329 Issued in TX
Legal business name
ALLCARE FAMILY AND URGENT CARE CLINICS, PA
Practice address
3825 Ross Avenue Suite 150
Dallas, TX 75204-5138
Phone
(214) 515-9646
Fax
(214) 515-9654
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Osehotue Okojie, MDNPI 1700848116
Title
Medical Director
Phone
(214) 515-9646

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X N0329 TX Primary

Addresses

Primary practice location

3825 Ross Avenue Suite 150
Dallas, TX 75204-5138

Mailing address

PO Box 639
Rockwall, TX 75087-0639
Phone (214) 515-9646

Other identifiers 3

IdentifierTypeStateIssuer
0001SGOtherTXBCBS OF TX
N0329OtherTXTEXAS LICENCE
50159417OtherTXTEXAS DPS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Eclinicalworks

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000439 TX Part B Supplier - Clinic/Group Practice 9537217237 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3825 Ross Ave
Ste 150
Dallas, TX 75204
Phone (214) 515-9646

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": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1790926376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870639",
            "telephone_number": "214-515-9646",
            "fax_number": "215-515-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 ROSS AVENUE SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045138",
            "telephone_number": "214-515-9646",
            "fax_number": "214-515-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE FAMILY AND URGENT CARE CLINICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "OSEHOTUE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-515-9646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0001SG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENCE",
            "identifier": "N0329",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS",
            "identifier": "50159417",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eclinicalworks",
            "affiliation": "N",
            "address_1": "3825 Ross Avenue suite 150",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752045138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.