Martin Luther King Jr Family Clinic

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MARTIN LUTHER KING JR FAMILY CLINIC

Practice address

2922-B Martin Luther King Jr Blvd
Dallas, TX 75215-2471

Phone

(214) 426-3645

Fax

(214) 426-6813

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Chantel Denise Miller, BILLING

Title

Billing/Credentialing Coordinator

Phone

(214) 426-3645

Specialties & licenses 1

Addresses

Tax ID family

Martin Luther King Fam3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Martin Luther King Jr Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1225782824
  NPD tax ID
• Martin Luther King, Jr. Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Balch Springs, TX
  • NPI 1407274855
  NPD tax ID

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841288602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922-B MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75215",
            "telephone_number": "214-426-3645",
            "fax_number": "214-426-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922-B MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152471",
            "telephone_number": "214-426-3645",
            "fax_number": "214-426-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER KING JR FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "214-426-3645",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BILLING"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concepcion Martin de Bustamante
• Martin H. Schaffer M.D.,P.a.
• Maureen Virginia Martin Jamieson, DC
• Martin Luther King Jr Family Clinic
• Martin Luther King Jr Family Clinic
• Martin Luther King Jr Family Clinic
• Martin McElya DO PA
• Martin S.Posner MD Associated
• Leidy Daniela Martin Samudio
• Martin Weinberg DDS Inc

• Public Health or Welfare Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.