Organization Active NPI

Dallas Family Services

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1962706333
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2800 Issued in OK
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

Updated by the provider on Jan 25, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.