NPIMap

Organization Active NPI

Dallas County Mental Health & Mental Retardation Center

Doing business as Dallas Mental Health Clinic

  • Clinic Pharmacy
  • Dallas, TX
National Provider Identifier
1821185026
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
6403 Issued in TX
Legal business name
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Doing business as
Dallas Mental Health Clinic
Practice address
4645 Samuell Blvd Ste 107
Dallas, TX 75228-6826
Phone
(214) 275-7393
Fax
(214) 381-1480
NPI assigned
Oct 7, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Min Seo Cheon Kim
Title
Chief Pharmacy Officer
Phone
(214) 743-6180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 6403 TX Primary

Addresses

Primary practice location

4645 Samuell Blvd Ste 107
Dallas, TX 75228-6826

Mailing address

3242 Remond Dr
Dallas, TX 75211
Phone (214) 743-6180

Other names 1

  • DALLAS MENTAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas County MHMR32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

3242 Remond Dr
Dallas, TX 75211

4645 Samuell Blvd
Ste 107
Dallas, TX 75228
Phone (214) 275-7393

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1821185026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75211",
            "telephone_number": "214-743-6180",
            "fax_number": "469-200-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SAMUELL BLVD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286826",
            "telephone_number": "214-275-7393",
            "fax_number": "214-381-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "CHEON KIM",
        "authorized_official_first_name": "MIN SEO",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "214-743-6180"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALLAS MENTAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 2, 2025; 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.