Active NPI
Dallas Family Services
- Community/Behavioral Health Agency
- Edmond, OK
National Provider Identifier
1962706333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2800
- Legal business name
- DALLAS FAMILY SERVICES
- Practice address
- 920 S Boulevard
# 103
Edmond, OK 73034-4731 - Phone
- (405) 245-7590
- NPI assigned
- Dec 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Marlon Brown
- Title
- Case Management
- Phone
- (405) 824-3463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2800 | OK | Primary |
Addresses
Primary practice location
920 S Boulevard
# 103
Edmond, OK 73034-4731
Mailing address
920 S Boulevard
# 103
Edmond, OK 73034-4731
Phone (405) 245-7590
Other names 1
- DALLAS RESTORATIVE FAMILY SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- Dallas Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Edmond, OK
- NPI 1962728261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295913600000",
"number": "1962706333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S BOULEVARD",
"address_2": "# 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344731",
"telephone_number": "405-245-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S BOULEVARD",
"address_2": "# 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344731",
"telephone_number": "405-245-7590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2011-01-25",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "MARLON",
"authorized_official_title_or_position": "CASE MANAGEMENT",
"authorized_official_telephone_number": "405-824-3463",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "2800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DALLAS RESTORATIVE FAMILY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.