Childrens Medical Center Dallas

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

630600 Issued in TX

Legal business name

CHILDRENS MEDICAL CENTER DALLAS

Practice address

1935 Motor St
Dallas, TX 75235-7701

Phone

(214) 456-5614

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Detamore Athre, RN, MSN CPNP

Title

Nurse Practitioner

Phone

(214) 456-5614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851458038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 WATEKA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094825",
            "telephone_number": "214-353-2775",
            "fax_number": "214-456-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MOTOR ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CENTER DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATHRE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DETAMORE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-456-5614",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN CPNP"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "TX",
            "license": "630600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Medical Center Dallas
• Children'S Medical Center Dallas
• Children'S Medical Center of Dallas
• Children'S Oral Health Center, Inc.
• Childrens Anesthesia Resources, LLP
• Childrens Medical Center of Dallas
• Melanie Ann Childress, M.D.
• Amy Hudson Childs, MD
• Beth Anne Childs
• Craig C Childs, M.D.

• Children's Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• Children's Hospital 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.