Individual provider Active NPI

Dhalma C. Santiago-Jurado, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1841494762
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2283 Issued in TX
Practice address
9753 Webb Chapel Rd.
Ste. 900
Dallas, TX 75220
Phone
(214) 622-6048
Fax
(214) 622-6051
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16899 PR
Pediatrics Physician 208000000X N2283 TX Primary

Addresses

Primary practice location

9753 Webb Chapel Rd.
Ste. 900
Dallas, TX 75220

Mailing address

300 E John Carpenter Fwy
Suite 850
Irving, TX 75062-2727
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000627 TX Practitioner - Family Practice 3577607522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16899PRMDPediatrics Physician
N2283TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 8, 2018 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1841494762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JOHN CARPENTER FWY",
            "address_2": "SUITE 850",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622727",
            "telephone_number": "972-957-3000",
            "fax_number": "972-957-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 WEBB CHAPEL RD.",
            "address_2": "STE. 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-622-6048",
            "fax_number": "214-622-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-JURADO",
        "first_name": "DHALMA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "16899",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.