Oak Cliff Children's Clinic, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6032 Issued in TX

Legal business name

OAK CLIFF CHILDREN'S CLINIC, P.A.

Practice address

2736 W Illinois Ave
Dallas, TX 75233-1004

Phone

(214) 467-7377

Fax

(214) 467-7384

NPI assigned

Feb 22, 2008

Last updated

May 21, 2009By 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

Dr. Heena Nitin Kanase, D.O.NPI 1457480790

Title

President

Phone

(214) 467-7377

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Heena Nitin Kanase, D.O.

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1457480790
  NPD (past) Authorized official
• Roxanne Laine Gelbar, P.A.-C

  • Physician Assistant
  • Garland, TX
  • NPI 1699913137
  NPD (past)
• Mary Alice Rios, PA-C

  • Physician Assistant
  • Durango, CO
  • NPI 1417495052
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1811166903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331004",
            "telephone_number": "214-467-7377",
            "fax_number": "214-467-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331004",
            "telephone_number": "214-467-7377",
            "fax_number": "214-467-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CLIFF CHILDREN'S CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KANASE",
        "authorized_official_first_name": "HEENA",
        "authorized_official_middle_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-467-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200831002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200831001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittaney Ross O'Toole
• Kandace Newsome O'Toole, CRNA
• Lorena O'Ward
• O'Winnie LTD Co (O'Winnie)
• Oad2
• Oak Cliff Childrens Dentist PLLC (Oak Cliff Childrens Dentist)
• Oak Cliff Dental Care PC
• Oak Cliff Dental Center
• Oak Cliff Eye Clinic PLLC (Dallas Eye Consultants)
• Oak Cliff Family Healthcare P a

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.