South Dallas Infusion

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

SOUTH DALLAS INFUSION

Practice address

950 E Belt Line Rd Ste 110
Cedar Hill, TX 75104-2423

Phone

(945) 212-3707

Fax

(945) 212-3708

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Kristi A. Kubosh-Schwartz

Title

Owner/Pic

Phone

(945) 212-3707

Specialties & licenses 5

Addresses

Other names 1

• Vital Care of South Dallas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1871219683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042423",
            "telephone_number": "945-212-3707",
            "fax_number": "945-212-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042423",
            "telephone_number": "945-212-3707",
            "fax_number": "945-212-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DALLAS INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "KUBOSH-SCHWARTZ",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "945-212-3707"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of South Dallas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of South Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Alberto Solano Trinidad, FNP-C
• Gemma M Sookprasong, DO
• Ronald Sorto
• Mallory Celeste Soto, FNP-C
• Omar Soto, DDS
• Southwest Community Development Corporation
• Kirtland John Speaks, D.C.
• Spectral Health Providers
• Gayla Shayree Spencer
• Robert James Spicer, MD

• Home Infusion Agency in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Home Infusion Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.