GREATER DALLAS HEALTHCARE ENTERPRISES (NPI# 1689073470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689073470 |
| Entity Type | Organization |
| Organization Name | GREATER DALLAS HEALTHCARE ENTERPRISES |
| Practice Address |
6301 Gaston Ave Suite 190p Dallas TX 75214-3922 |
| Mailing Address |
Po Box 840711 Dallas TX 75284-0711 |
| Practice Telephone | 4696196550 |
| Practice Fax Number | 4693340507 |
| Mailing Telephone | 4696196550 |
| Mailing Fax Number | 4693340507 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET) |
| Authorized Official Telephone | 4698932563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255542122 | Greater Dallas Healthcare Enterprises | Durable Medical Equipment & Medical Supplies | 1445 Ross Ave Ste 1400, Dallas, TX 75202-2703 | 2007-05-24 |
| 1518485721 | Greater Dallas Healthcare Enterprises | Pediatrics | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2017-09-07 |
| 1689031387 | Greater Dallas Healthcare Enterprises | Pediatrics | 9870 Gateway Blvd N, Ste. A, El Paso, TX 79924-4425 | 2016-01-26 |
| 1255798385 | Greater Dallas Healthcare Enterprises | Pediatrics | 3270 Joe Battle Blvd, Ste. 120, El Paso, TX 79938-2639 | 2016-01-20 |
| 1770983074 | Greater Dallas Healthcare Enterprises | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2014-08-25 |
| 1225437684 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. 410, Dallas, TX 75218-5004 | 2014-08-21 |
| 1568871432 | Greater Dallas Healthcare Enterprises | Pediatrics | 11301 Fallbrook Dr, Ste. 130, Houston, TX 77065-4237 | 2014-08-05 |
| 1831500776 | Greater Dallas Healthcare Enterprises | Pediatrics | 1700 Curie Dr, Ste. 1000, El Paso, TX 79902-2905 | 2014-05-14 |
| 1114338175 | Greater Dallas Healthcare Enterprises | Pediatrics | 2311 N Mesa St, Ste. G, El Paso, TX 79902-3666 | 2014-05-13 |
| 1558772517 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. C408b, Dallas, TX 75218-5004 | 2014-05-13 |
| Street Address |
6301 GASTON AVE SUITE 190P |
| City | DALLAS |
| State | TX |
| Zip Code | 75214-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889060 | Dan Brajtbord | Anesthesiology | 6301 Gaston Ave, East Tower Suite 400, Dallas, TX 75214-3922 | 2005-05-31 |
| 1962016089 | Veronika Kharaman | Occupational Therapist | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2020-09-04 |
| 1508325093 | Blanca Esperanza | Student in an Organized Health Care Education/Training Program | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2019-03-14 |
| 1356849475 | Lacy Cheyenne Richardson | Occupational Therapy Assistant | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2018-01-23 |
| 1447768619 | Katelyn Gregory | Specialist/Technologist | 6301 Gaston Ave, 750, Dallas, TX 75214 | 2018-01-22 |
| 1609384528 | Resheena Dumas | Speech-Language Pathologist | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2018-01-12 |
| 1902314842 | Cyntia Diane Parrott | Occupational Therapy Assistant | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2018-01-12 |
| 1265940118 | Kaitlyn Jarzombek | Specialist/Technologist | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2018-01-12 |
| 1396258885 | Lynn Watters | Occupational Therapist | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2017-11-07 |
| 1053855882 | Anastasia Benson, Do Pa | Clinic/Center | 6301 Gaston Ave, Suite 445, Dallas, TX 75214-3922 | 2016-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
| 1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
| 1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
| 1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
| 1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
| 1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
| 1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
| Find all providers in zip 75214 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982131363 | Julia C Durante | Pediatrics | 2350 N Stemmons Fwy Ste F5200, Dallas, TX 75207-2700 | 2017-05-17 |
| 1891235206 | Jill Whitehurst | Pediatrics | 6436 Glendora Ave, Dallas, TX 75230-5125 | 2017-03-03 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| 1144686601 | Souren Chakmakjian | Pediatrics | 3855 Branchfield Dr, Dallas, TX 75214-2949 | 2016-01-13 |
| 1851756977 | Aaron L. Kreisler, M.d. P.a. | Pediatrics | 1151 N Buckner Blvd # Pb1, Suite 203, Dallas, TX 75218-3426 | 2015-12-16 |
| 1679982540 | Mevelline Lim | Pediatrics | 2350 N Stemmons Fwy Ste 2400, Dallas, TX 75207-2700 | 2014-08-05 |
| 1134549983 | Diana Liz Arriola | Pediatrics | 3434 W Illinois Ave Ste 306-3, Dallas, TX 75211-8709 | 2014-04-20 |
| 1386064269 | Jennifer Nguyen Chew | Pediatrics | 6300 Harry Hines Blvd Ste 101, Dallas, TX 75235-5259 | 2014-04-18 |
| 1215379987 | Colleen D Edge | Pediatrics | 8355 Walnut Hill Ln Ste 105, Dallas, TX 75231-4242 | 2013-07-23 |
| 1083055214 | Richard William Markus | Pediatrics | 7777 Forest Ln Ste B320, Dallas, TX 75230-6820 | 2013-07-16 |
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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.