Individual provider Active NPI

Dustin Alan Ross, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1114934411
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08432 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone
(214) 648-3916
Fax
(214) 648-8423
NPI assigned
Aug 1, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA797 NV
Medical Physician Assistant 363AM0700X PA08432 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 648-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040319000455 NV Practitioner - Physician Assistant 7911897178 Reassigns benefits to 1 organization
I20130913000228 TX Practitioner - Physician Assistant 7911897178 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA797NVMDMedical Physician Assistant
PA08432TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 20, 2015 Accepting new patients
American Current Care P.a. CurrentSince May 18, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 20, 2015 Accepting new patients
American Current Care PA CurrentSince May 18, 2019 Accepting new patients
Lake Mead Emergency Physicians, LLC Past Accepting new patients
Carrus Care Physicians Group Inc. Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients
Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC Past Accepting new patients
Advanced Care Emergency Services, PLLC Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

3500 Gaston Ave
Dallas, TX 75246

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

3601 N Calais St
Sherman, TX 75090
Phone (903) 813-3700

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: dustin.ross.1@29118.direct.athenahealth.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1114934411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-648-3916",
            "fax_number": "214-648-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-648-3916",
            "fax_number": "214-648-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DUSTIN",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA797",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.