Active NPI
Advanced Neuro Solutions, LLC
- Neurological Surgery Physician
- Dallas, TX
National Provider Identifier
1124366232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Neuro Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Technologist
- Tulsa, OK
- NPI 1801152426
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Las Vegas, NV
- NPI 1447772512
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
- Advanced Integrated Medications
- Advanced Medical Services Associates, LLC
- Advanced Medicine & Rehabilitation of Texas
- Advanced Medicine and Rehabilitation of Texas, Inc.
- Advanced Microsurgery of the Spine, P.a.
- Advanced Neurological Services of Dallas
- Advanced Neurostimulation Therapies, LLC
- Advanced Orthopedic Designs, LLC
- Advanced Orthopedic Designs, LLC
- Advanced Pain Interventions PLLC
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.