MALCOLM X PEDIATRIC CLINIC
NPI 1518290469
Nurse Practitioner in Dallas, TX
NPI Status: Active since September 10, 2009
Contact Information
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
Phone: (214) 428-2010
Fax: (214) 428-2065
- Organization
- Nurse Practitioner
- CLIA Number: 45D1000844
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-14-2027
About MALCOLM X PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Malcolm X Pediatric Clinic, a provider established in Dallas, Texas operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1518290469 assigned on September 2009. The practitioner's primary taxonomy code is 363L00000X with license number 245458 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ruth Greer Fnp (Owner)
- NPI
- 1518290469
- Provider Name
- MALCOLM X PEDIATRIC CLINIC
- Entity Type
- Organization
- Location Address
- 4432 MALCOLM X BLVD DALLAS, TX 75215
- Location Phone
- (214) 428-2010
- Location Fax
- (214) 428-2065
- Mailing Address
- 4432 MALCOLM X BLVD DALLAS, TX 75215
- Mailing Phone
- (214) 428-2010
- Mailing Fax
- (214) 428-2065
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2009
- Last Update Date
- 09-10-2009
- Code Navigator
A nurse practitioner (NP) like Malcolm X Pediatric Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 245458
- License State
- TX
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 245458 (TX) |
| 2 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 245458 (TX) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1000844
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 15, 2025
- Certificate Expiration Date
- April 14, 2027
- Laboratory Director
- RUTH E. GREER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Malcolm X Pediatric Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 2 | 9 | 0 | 4 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 4 | 9 | 0 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 4 + 9 + 0 + 4 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1518290469 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
DEMETRA CORRINE JONES DDS
Dentist
(General Practice)
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
MS. RUTH ELAINE GREER FNP
Nurse Practitioner
(Acute Care)
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
DALLAS NAVARRO HEALTHCARE SERVICES LLC
Nurse Practitioner
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
MRS. JACQUELINE LURECE DAVIS RN, FNP
Nurse Practitioner
(Family)
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
DALLAS DME,LLC
Durable Medical Equipment & Medical Supplies
4432 MALCOLM X BLVD
SUITE A
DALLAS, TX
ZIP 75215
DR DEANOS PHARMACY
Personal Emergency Response Attendant
4432 MALCOLM X BLVD
DALLAS, TX
ZIP 75215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518290469, enumerated as an "organization" on September 10, 2009.
The provider is located at 4432 MALCOLM X BLVD DALLAS, TX 75215 and the phone number is (214) 428-2010.
Nurse Practitioner with taxonomy code 363L00000X.
