Organization Active NPI

Chifom Enterprises Inc

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1962044412
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHIFOM ENTERPRISES INC
Practice address
1324 N Galloway Ave Ste 105
Mesquite, TX 75149-2440
Phone
(972) 707-0877
Fax
(972) 807-6088
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Dr. Stephanie Menes, MD
Title
Owner
Phone
(972) 707-0877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1324 N Galloway Ave Ste 105
Mesquite, TX 75149-2440

Mailing address

1324 N Galloway Ave Ste 105
Mesquite, TX 75149-2440
Phone (972) 707-0877

National Provider Directory

National Provider Directory

Locations

1324 N Galloway Ave
Ste 105
Mesquite, TX 75149
Phone (972) 216-4900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1962044412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-707-0877",
            "fax_number": "972-807-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-707-0877",
            "fax_number": "972-807-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIFOM ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "MENES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-707-0877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.