Organization Active NPI

Mercy Ambulatory Surgery Center of Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1164937272
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130355 Issued in TX
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

Updated by the provider on Nov 17, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2151440Mercy Ambulatory Surgery Center12606 Greenville Ave, Dallas, TX 75243Certificate of waiverJul 17, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.