MARTIN LUTHER KING JR FAMILY CLINIC (NPI# 1841288602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841288602 |
| Entity Type | Organization |
| Organization Name | MARTIN LUTHER KING JR FAMILY CLINIC |
| Practice Address |
2922-b Martin Luther King Jr Blvd Dallas TX 75215-2471 |
| Mailing Address |
2922-b Martin Luther King Jr Blvd Dallas TX 75215 |
| Practice Telephone | 2144263645 |
| Practice Fax Number | 2144266813 |
| Mailing Telephone | 2144263645 |
| Mailing Fax Number | 2144266813 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CHANTEL DENISE MILLER (BILLING/CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2144263645 |
| Authorized Official Credential | BILLING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134366289 | Martin Luther King Jr Family Clinic | Pharmacy | 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215-2321 | 2009-01-12 |
| 1851492557 | Martin Luther King Jr Family Clinic | Clinic/Center | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2006-09-26 |
| Street Address |
2922-B MARTIN LUTHER KING JR BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198568 | Kimberly Bowie | Public Health or Welfare | 10040 Royal Ln, Dallas, TX 75238-1204 | 2020-06-16 |
| 1003191750 | Abounding Prosperity, Inc. | Public Health or Welfare | 1816 Peabody Ave, Dallas, TX 75215-2813 | 2011-10-13 |
| 1417107061 | City of Dallas Environmental & Health Services | Public Health or Welfare | 1500 Marilla, 7an, Dallas, TX 75201-6318 | 2008-09-19 |
| 1407046550 | City of Dallas | Public Health or Welfare | 1500 Marilla Dr, 7 An, Dallas, TX 75201-6318 | 2007-07-25 |
| 1083713507 | Paulding County Board of Health | Public Health or Welfare | 451 Jimmy Campbell Pkwy, Dallas, GA 30132-5500 | 2006-09-21 |
| 1912954207 | City of Dallas | Public Health or Welfare | 8001 Lbj Frwy., Suite 200, Dallas, TX 75251 | 2006-05-30 |
| 1245284652 | City of Dallas | Public Health or Welfare | 2828 Fish Trap Rd, Dallas, TX 75212-4937 | 2006-05-20 |
| 1174576946 | City of Dallas | Public Health or Welfare | 300 N Ewing Ave, Dallas, TX 75203-2342 | 2006-05-19 |
| 1316991078 | City of Dallas | Public Health or Welfare | 3312 N Buckner Blvd, Suite 205, Dallas, TX 75228-5695 | 2006-05-19 |
| 1861637092 | Dallas County Juvenile Department | Public Health or Welfare | 2600 Lone Star Dr, Dallas, TX 75212-6336 | 2008-12-02 |
| 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.