MR. GREGORY JAMES SMALL (NPI# 1376865790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376865790 |
| Entity Type | Individual |
| Full Name | MR. GREGORY JAMES SMALL |
| Credential | C.O., L.O. |
| Practice Address |
1935 Medical District Dr. Childrens Medical Center P. M. & R. Dept Dallas TX 75235 |
| Mailing Address |
7849 Ileson Rd Aubrey TX 76227-4473 |
| Practice Telephone | 2144562778 |
| Practice Fax Number | 2144568107 |
| Mailing Telephone | 9404409632 |
| Mailing Fax Number | 9404409632 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 157 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237789 | Gregory Alan Small | Internal Medicine | 1 Texas Station Court, Suite 210, Timonium, MD 21093 | 2008-06-04 |
| Street Address |
1935 MEDICAL DISTRICT DR. CHILDRENS MEDICAL CENTER P. M. & R. DEPT |
| City | DALLAS |
| State | TX |
| Zip Code | 75235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760554216 | Shellye Elaine Crawford | Nurse Practitioner | 1935 Medical District Dr., Dallas, TX 75235-7701 | 2006-11-13 |
| 1568897171 | Margaret Kinsel | Nurse Practitioner | 1935 Medical District Dr., Dallas, TX 75235 | 2013-09-13 |
| 1356691471 | Melissa Snider Tucker | Nurse Practitioner | 1935 Medical District Dr., Dallas, TX 75235 | 2012-09-17 |
| 1356586564 | Yong Jong Park | Dentist | 1935 Medical District Dr., Orthdontics, Dallas, TX 75235-7701 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869225 | Anna Christine Brown | Orthotist | 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 | 2020-10-22 |
| 1639713597 | Amanda Coldren | Orthotist | 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 | 2019-11-04 |
| 1184266785 | Duran H Pardue | Orthotist | 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 | 2019-10-15 |
| 1316452147 | Abigail Catherine Genet | Orthotist | 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 | 2017-12-01 |
| 1154843647 | Nicholas Robison Brown | Orthotist | 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 | 2017-07-17 |
| 1902174717 | Jacqueline Adolph | Orthotist | 6011 Harry Hines Blvd V5 400, Dallas, TX 75390-9091 | 2011-12-07 |
| 1174754303 | Tiffany Graham | Orthotist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75390 | 2009-08-05 |
| 1457598427 | Angie T Gonzales | Orthotist | 3910 Gaston Ave, Dallas, TX 75246-1511 | 2009-01-13 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.