Individual provider Active NPI

Joy Deann Acklin, D.O.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1902004807
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P0691 Issued in TX
Practice address
12810 Hillcrest Rd # B209
Dallas, TX 75230-1525
Phone
(972) 292-7158
Fax
(877) 292-2247
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P0691 TX Primary

Addresses

Primary practice location

12810 Hillcrest Rd # B209
Dallas, TX 75230-1525

Mailing address

2701 W. 15TH Street
#520
Plano, TX 75075

Other practice location 1

3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123

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
I20130109000026 TX Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 2961655667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Kansas City University of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5422 Alpha Rd
Dallas, TX 75240-4506
Phone (214) 613-6897

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hephzibah Visiting Clinicians CurrentSince Aug 7, 2019 Accepting new patients
Joy Acklin DO PLLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

5422 Alpha Rd
Dallas, TX 75240
Phone (214) 451-2786

12810 Hillcrest Rd
#B209
Dallas, TX 75230
Phone (972) 292-7158

111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHJCD/Endpoint/HIHJCD
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1902004807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W. 15TH STREET",
            "address_2": "#520",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD # B209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "972-292-7158",
            "fax_number": "877-292-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 SW 160th Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276308",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKLIN",
        "first_name": "JOY",
        "middle_name": "DEANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P0691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.