Organization Active NPI

Dallas Neurosurgical Associates, P.a.

  • Specialist
  • Plano, TX
National Provider Identifier
1083600951
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DALLAS NEUROSURGICAL ASSOCIATES, P.A.
Practice address
6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201
Phone
(214) 750-3646
Fax
(214) 368-1610
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Jason S Taub, M.D.
Title
President
Phone
(214) 750-3646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201

Mailing address

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201
Phone (214) 750-3646

Other identifiers 2

IdentifierTypeStateIssuer
081453501MedicaidTX
0096BHOtherTXMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050316000277 TX Part B Supplier - Clinic/Group Practice 1254386907 Receives reassigned benefits from 16 practitioners
Practice locations: Plano, TX
O20130426000502 TX DME Supplier - Physician - Neurosurgery 1254386907 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6101 W Plano Pkwy
Plano, TX 75093
Phone (214) 445-3646

6101 W Plano Pkwy
Ste 250
Plano, TX 75093
Phone (469) 606-1179

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1083600951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3646",
            "fax_number": "214-368-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3646",
            "fax_number": "214-368-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NEUROSURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-750-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081453501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "0096BH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.