Organization Active NPI

US Vascular Access Center of Dallas,LLC

Doing business as Vascular Access Center of Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1205826310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007187 Issued in TX
Legal business name
US VASCULAR ACCESS CENTER OF DALLAS,LLC
Doing business as
Vascular Access Center of Dallas
Practice address
3604 Live Oak St
Suite 300
Dallas, TX 75204-6168
Phone
(214) 826-4224
Fax
(214) 826-6442
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A Perry
Title
V.P./G.M.
Phone
(407) 661-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007187 TX Primary

Addresses

Primary practice location

3604 Live Oak St
Suite 300
Dallas, TX 75204-6168

Mailing address

3604 Live Oak St
Suite 300
Dallas, TX 75204-6168
Phone (214) 826-4224

Other identifiers 1

IdentifierTypeStateIssuer
1416422MedicaidTX

Other names 1

  • Vascular Access Center of Dallas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205826310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 LIVE OAK ST",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046168",
            "telephone_number": "214-826-4224",
            "fax_number": "214-826-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 LIVE OAK ST",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046168",
            "telephone_number": "214-826-4224",
            "fax_number": "214-826-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US VASCULAR ACCESS CENTER OF DALLAS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P./G.M.",
        "authorized_official_telephone_number": "407-661-5766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416422",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Access Center of Dallas",
            "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 Aug 22, 2020; 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.