JOHN S DALLAS (NPI# 1023123478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023123478 |
| Entity Type | Individual |
| Full Name | JOHN S DALLAS |
| Credential | MD |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828857960 |
| Practice Fax Number | 6828851327 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
H7135 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP | 00257T | 01 |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | CSHCN GROUP | 150220509 | 01 |
| TX | 137011611 | 05 | |
| TX | CSHCN | 137011612 | 01 |
| TX | 137011617 | 05 | |
| TX | MEDICAID GROUP | 150220508 | 01 |
| TX | MEDICARE GROUP | 00U87Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902835408 | John Lafayette Dallas | Chiropractor | 1505 W Holmes Rd, Lansing, MI 48910-4330 | 2006-06-30 |
| 1508811761 | John Charles Dallas | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2006-05-24 |
| 1710205349 | John Gregory Dallas | Legal Medicine | 7033 N Fresno St, Suite 201, Fresno, CA 93720-2976 | 2010-05-06 |
| 1972687127 | John David Dallas | Internal Medicine | 1305 W 34th St, Suite 400, Austin, TX 78705-1923 | 2006-10-24 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1043537392 | Lawrence Swanson | Pediatrics | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2010-04-27 |
| 1306163753 | Sani Ann Mathew Roy | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2010-04-26 |
| 1306036686 | Jill A Radack | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-08-01 |
| 1720285604 | Alejandro Javier De La Torre | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-07-02 |
| 1497960041 | Teena Catherine Thomas | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-14 |
| 1346455318 | Susan Yi Hsian Hsieh | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-13 |
| 1790813137 | Joel W Steelman | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-02-28 |
| 1619066149 | Michael D Willcutts | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-12 |
| 1265521108 | Paul S Thornton | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-11 |
| 1699737528 | Donnie P. Wilson | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-04-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on JOHN S DALLAS.
| 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.