Active NPI
Mercy Ambulatory Surgery Center of Dallas
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1164937272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 130355
- Legal business name
- MERCY AMBULATORY SURGERY CENTER OF DALLAS
- Practice address
- 12606 Greenville Ave
Dallas, TX 75243-1921 - Phone
- (972) 982-7887
- Fax
- (972) 982-7058
- NPI assigned
- Dec 12, 2017
- 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
- Adnan Shaikh
- Title
- Practice Consultant
- Phone
- (972) 954-2133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 130355 | TX | Primary |
Addresses
Primary practice location
12606 Greenville Ave
Dallas, TX 75243-1921
Mailing address
PO Box 797946
Dallas, TX 75379-7946
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2151440 | Mercy Ambulatory Surgery Center | Certificate of waiver | Jul 17, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1164937272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797946",
"city": "DALLAS",
"state": "TX",
"postal_code": "753797946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12606 GREENVILLE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752431921",
"telephone_number": "972-982-7887",
"fax_number": "972-982-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY AMBULATORY SURGERY CENTER OF DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "SHAIKH",
"authorized_official_first_name": "ADNAN",
"authorized_official_title_or_position": "PRACTICE CONSULTANT",
"authorized_official_telephone_number": "972-954-2133"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "130355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.