Organization Active NPI

Stephanie K. Teotia MD PA

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1083023303
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P2194 Issued in TX
Legal business name
STEPHANIE K. TEOTIA MD PA
Practice address
4231 Cedar Springs Rd
Dallas, TX 75219-2691
Phone
(214) 823-9652
Fax
(214) 823-4935
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Stephanie K Teotia
Title
Physician/Owner
Phone
(214) 823-9652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X P2194 TX Primary

Addresses

Primary practice location

4231 Cedar Springs Rd
Dallas, TX 75219-2691

Mailing address

4231 Cedar Springs Rd
Dallas, TX 75219-2691
Phone (214) 823-9652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1083023303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192691",
            "telephone_number": "214-823-9652",
            "fax_number": "214-823-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192691",
            "telephone_number": "214-823-9652",
            "fax_number": "214-823-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE K. TEOTIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "TEOTIA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "214-823-9652"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P2194",
            "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 Mar 4, 2015; 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.