DFW Community Medical Group PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

DFW COMMUNITY MEDICAL GROUP PLLC

Practice address

916 W 6TH St
Irving, TX 75060-3874

Phone

(214) 570-0006

Fax

(469) 586-5909

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Hatshepsut OshunNPI 1346587854

Title

Owner

Phone

(267) 242-3404

Specialties & licenses 2

Addresses

Other names 1

• Community Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 10

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

• Juan Carlos Narvaez Gonzalez, APRN

  • Family Nurse Practitioner
  • Pecos, TX
  • NPI 1861269938

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ana Liza Torres Villanueva, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Irving, TX
  • NPI 1992306542

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Nhan Dinh

  • Physician Assistant
  • Irving, TX
  • NPI 1801528567
  Medicare reassignment Care Compare group
• Hatshepsut Mboluji Oshun, PA

  • Physician Assistant
  • Denton, TX
  • NPI 1346587854
  Medicare reassignment Authorized official
• Briania Smith

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1295580744
  Medicare reassignment Care Compare group
• Bethany Chico

  • Family Nurse Practitioner
  • Gainesville, TX
  • NPI 1629611793
  Medicare reassignment NPD
• Darnesha Shaunte Clanton, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1730799917
  Medicare reassignment NPD
• Yamilett Mendez, PA

  • Physician Assistant
  • Beaumont, TX
  • NPI 1861055329
  Medicare reassignment
• Adetunji Hakeem Oshun, PA-C

  • Physician Assistant
  • Irving, TX
  • NPI 1336487925
  Medicare reassignment
• Ceyda Ors

  • Physician Assistant
  • Dallas, TX
  • NPI 1497288625
  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1942674296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616823",
            "telephone_number": "214-570-0006",
            "fax_number": "469-586-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W 6TH ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603874",
            "telephone_number": "214-570-0006",
            "fax_number": "469-586-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW COMMUNITY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "OSHUN",
        "authorized_official_first_name": "HATSHEPSUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-242-3404"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tim Deviese
• Devine Home Health Agency Inc
• Devoted Care, LLC
• Andrea Nicole Dewberry, M.S., CF-SLP
• DFW Cardiovascular Institute PLLC
• DFW Doctors Housecall Inc
• DFW Doctors Now, Inc
• DFW Family Clinic - Irving Inc
• DFW Home Health & Hospice Care LLC
• DFW Home Health and Hospice Care LLC

• Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.