Organization Active NPI

Advanced Neuro Solutions, LLC

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1124366232
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ADVANCED NEURO SOLUTIONS, LLC
Practice address
4516 Lovers LN
Ste. 331
Dallas, TX 75225-6925
Phone
(214) 675-0905
Fax
(214) 317-4888
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Mr. Trase Mahan
Title
Executive Director
Phone
(214) 675-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4516 Lovers LN
Ste. 331
Dallas, TX 75225-6925

Mailing address

PO Box 649209
Dallas, TX 75264-9209
Phone (214) 675-0905

Other names 1

  • ANS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Neuro Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1124366232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649209",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 LOVERS LN",
            "address_2": "STE. 331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256925",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEURO SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-675-0905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2024; 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.