Active NPI
Joy Deann Acklin, D.O.
- General Practice Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- P0691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130109000026 | TX | Practitioner - Family Practice | 2961655667 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hephzibah Visiting Clinicians | Current | Accepting new patients | |
| Joy Acklin DO PLLC | Current | 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
- https://fhir4.healow.com/fhir/r4/HIHJCD/Endpoint/HIHJCD
- 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1295330082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.