THE KINGSLEY CLINIC PLLC (NPI# 1770143315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770143315 |
| Entity Type | Organization |
| Organization Name | THE KINGSLEY CLINIC PLLC |
| Practice Address |
14180 Dallas Pkwy Ste 620 Dallas TX 75254-4363 |
| Practice Telephone | 5303057637 |
| Mailing Telephone | 5303057637 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | DR. JAMES RALPH KINGSLEY JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5303057637 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE MEDICAL LICENSE | R2380 | 01 |
| Street Address |
14180 DALLAS PKWY STE 620 |
| City | DALLAS |
| State | TX |
| Zip Code | 75254-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693708 | Sally Purcell | Internal Medicine | 6150 E Mockingbird Ln, Dallas, TX 75214-2601 | 2020-09-15 |
| 1881211001 | Priscilla Kovacs | Internal Medicine | 2909 S Hampton Rd # D107, Dallas, TX 75224-3000 | 2020-07-03 |
| 1447876586 | William F Cox Md Pa | Internal Medicine | 8220 Walnut Hill Ln Ste 500, Dallas, TX 75231-4414 | 2020-06-24 |
| 1801418637 | Concierge Telemedicine Pllc | Internal Medicine | 10847 Sanden Dr Ste 102, Dallas, TX 75238-5356 | 2020-05-14 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1588138143 | Element Health & Wellness, Pllc | Internal Medicine | 4225 Office Pkwy # 102, Dallas, TX 75204-3628 | 2019-01-17 |
| 1245712421 | Kokoro Body Therapies, Pllc | Internal Medicine | 14850 Montfort Dr Ste 181, Lb 11, Dallas, TX 75254-1450 | 2018-09-04 |
| 1033608740 | Ahsan Riaz Md Pllc | Internal Medicine | 6207 Walnut Hill Ln, Dallas, TX 75230-5114 | 2018-05-08 |
| 1821590860 | Kairos Health Clinics | Internal Medicine | 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 | 2018-03-06 |
| 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.