Restorative Spine and Brain Center of Dallas PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

RESTORATIVE SPINE AND BRAIN CENTER OF DALLAS PLLC

Practice address

11500 State Highway 121 Ste 1010
Frisco, TX 75035-9347

Phone

(214) 807-0445

Fax

(214) 817-1006

NPI assigned

Dec 28, 2022

Organization subpart

No

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

Authorized official

Name

Vanessa Deason

Title

Office Manager

Phone

(469) 781-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IN, KY4 enrollments

Enrollment records 4

Locations

Practitioners 1

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

• Todd Stiles Shanks, MD

  • Neurological Surgery Physician
  • Frisco, TX
  • NPI 1154542181

  IN, KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1093428633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "214-807-0445",
            "fax_number": "214-817-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "214-807-0445",
            "fax_number": "214-817-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 S Collins Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "TX",
            "postal_code": "751824642",
            "country_code": "US",
            "telephone_number": "214-807-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE SPINE AND BRAIN CENTER OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-781-9700"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Renner, RBT
• Reproductive Specialists of Texas
• Research Center of Texas LLC
• Savannah Ressler
• Restora House Calls PLLC
• Results Healthcare Staffing LLC
• Resurgence Anesthesia PLLC
• Kaylen Rettig
• Jessica Ann Reva, MS CCC-SLP
• J Lynne Rever, PT

• Neurological Surgery Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.