Active NPI
David Isaradisaikul, MD
- Neurology Physician
- Dallas, TX
National Provider Identifier
1063525293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M4194
- Practice address
- 7777 Forest LN
Suite C-300
Dallas, TX 75230-6805 - Phone
- (972) 566-7684
- Fax
- (972) 566-7023
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M4194 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite C-300
Dallas, TX 75230-6805
Mailing address
7777 Forest LN
Suite C-300
Dallas, TX 75230-6805
Phone (972) 566-7684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Clinic of Texas PA | Neurology | Past | Accepting new patients |
| Neurology Consultants of Dallas, P.a. | Neurology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Dallas, TX
- NPI 1710994322
-
- Neurology Physician
- Dallas, TX
- NPI 1780875807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1063525293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306805",
"telephone_number": "972-566-7684",
"fax_number": "972-566-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306805",
"telephone_number": "972-566-7684",
"fax_number": "972-566-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISARADISAIKUL",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M4194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.