Organization Active NPI

Bariatric Surgery Center of North Texas, PA

  • Specialist
  • Denton, TX
National Provider Identifier
1033298518
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L5142 Issued in TX
Legal business name
BARIATRIC SURGERY CENTER OF NORTH TEXAS, PA
Practice address
3321 Colorado Blvd
Denton, TX 76210-6817
Phone
(940) 382-7321
Fax
(940) 382-5453
NPI assigned
Nov 3, 2006
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daryl A. Stewart, M.D.
Title
President
Phone
(940) 382-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L5142 TX Primary

Addresses

Primary practice location

3321 Colorado Blvd
Denton, TX 76210-6817

Mailing address

3321 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 382-7321

Other identifiers 2

IdentifierTypeStateIssuer
0039JQOtherTXBC & BS
187070101MedicaidTX

National Provider Directory

National Provider Directory

Locations

3319 Colorado Blvd
Denton, TX 76210
Phone (940) 382-7321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1033298518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106817",
            "telephone_number": "940-382-7321",
            "fax_number": "940-382-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106817",
            "telephone_number": "940-382-7321",
            "fax_number": "940-382-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC SURGERY CENTER OF NORTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-382-7321",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "0039JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187070101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.