Active NPI
Alfredo Flores
- Community Health Worker
- Dallas, TX
National Provider Identifier
1922815323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 10461
- Practice address
- 1838 Bayonne St
Dallas, TX 75212-5352 - Phone
- (972) 363-6210
- NPI assigned
- Dec 18, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 10461 | TX | Primary |
Addresses
Primary practice location
1838 Bayonne St
Dallas, TX 75212-5352
Mailing address
1838 Bayonne St
Dallas, TX 75212-5352
Phone (972) 363-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10461 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1922815323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 BAYONNE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752125352",
"telephone_number": "972-363-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 BAYONNE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752125352",
"telephone_number": "972-363-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ALFREDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "10461",
"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 Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.