Dallas Id Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DALLAS ID ASSOCIATES, PA

Practice address

1600 W College St Ste 130
Grapevine, TX 76051-3575

Phone

(214) 689-7806

Fax

(214) 689-5970

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Brian Walker

Title

Practice Administrator

Phone

(214) 689-7806

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26250/brand/1/csg/1/fhir/r4

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashish A Acharya, M.D.

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1215987359

  TX

  Medicare reassignment Care Compare group NPD
• Steven G Davis, M.D.

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1659352045

  Specialist, TX

  Medicare reassignment Care Compare group NPD
• Brian Joseph Hopkins, MD

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1306378815

  TX

  Medicare reassignment Care Compare group NPD
• Valencia Monita Oglesby, DO

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1174085674

  TX

  Medicare reassignment Care Compare group NPD
• Perry G Pate, M.D.

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1659352284

  Specialist, TX

  Medicare reassignment Care Compare group NPD
• Teshekia D Hawkins, DNP, AGACNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1538618624

  TX

  Medicare reassignment NPD
• Tania Purkayastha, MD

  • Infectious Disease Physician
  • Grapevine, TX
  • NPI 1033288451

  TX

  Medicare reassignment NPD
• Edward Sung Joon Park, PHARM.D.

  • Pharmacist
  • Dallas, TX
  • NPI 1851420350
  NPD (past)
• Marilyn Levi, MD

  • Infectious Disease Physician
  • Aurora, CO
  • NPI 1487744066
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1891725545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 130",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513575",
            "telephone_number": "214-689-7806",
            "fax_number": "214-689-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 130",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513575",
            "telephone_number": "214-689-7806",
            "fax_number": "214-689-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ID ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-689-7806"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141563003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141563001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc
• Cynthia Mace-Motta, DO PA
• Cypress Interventional Pain Center LLC
• D J Montgomery Enterprise, LLC
• Jason Saad-Eddine Daaboul, D.D.S.
• Dallas Neuropsychology Associates
• Dallas Pediatrics & Infectious Disease Associates
• Dallas-Fort Worth Nephrology LP
• Nicholas Damiata
• Daniel Ha Pham, MD PA

• Specialist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.