Dallas Medical P.L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35228 Issued in KY

Legal business name

DALLAS MEDICAL P.L.L.C.

Practice address

4645 Village Square Drive
Suite a
Paducah, KY 42001

Phone

(270) 444-9934

Fax

(270) 444-9937

NPI assigned

Feb 21, 2007

Last updated

Mar 3, 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. Erika Denise Dallas, M.D.NPI 1366518060

Title

President

Phone

(270) 444-9934

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Erika D Dallas, M.D.

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1366518060
  Authorized official Same address or phone
• James D Kim, MD

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1255657151
  NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1841335049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 VILLAGE SQUARE DR",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017448",
            "telephone_number": "270-444-9934",
            "fax_number": "270-444-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 VILLAGE SQUARE DRIVE",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-444-9934",
            "fax_number": "270-444-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS MEDICAL P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-444-9934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "35228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Cursey, PSS
• Tammie D. Cvengros, CRNA
• Joseph Robert Dailey, CRNA
• Natalie Teresa Dal'Bo, MD
• Linda M Dall, NP
• Erika D Dallas, M.D.
• Nicole Lee Dalton, PHARMD
• Kelsey Damm, RN
• Justin Damron, PA
• Daniel R. Quinlan O D

• Primary Care Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.