Organization Active NPI

Supreme Anesthesia Partners

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1073226247
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SUPREME ANESTHESIA PARTNERS
Practice address
8616 Greenville Ave Ste 101a
Dallas, TX 75243-7166
Phone
(972) 999-1659
Fax
(972) 805-2777
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Thomas Jefferson
Title
Practice Consultant
Phone
(972) 999-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8616 Greenville Ave Ste 101a
Dallas, TX 75243-7166

Mailing address

8616 Greenville Ave Ste 101a
Dallas, TX 75243-7166
Phone (972) 999-1659

National Provider Directory

National Provider Directory

Locations

8616 Greenville Ave
Ste 101
Dallas, TX 75243
Phone (214) 450-9926

8616 Greenville Ave
Ste 101A
Dallas, TX 75243

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1073226247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 GREENVILLE AVE STE 101A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437166",
            "telephone_number": "972-999-1659",
            "fax_number": "972-805-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 GREENVILLE AVE STE 101A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437166",
            "telephone_number": "972-999-1659",
            "fax_number": "972-805-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME ANESTHESIA PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "972-999-1659"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Oct 20, 2025; 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.