Organization Active NPI

Quality Assist, LLC

  • Surgical Assistant
  • Mansfield, TX
National Provider Identifier
1225495708
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
QUALITY ASSIST, LLC
Practice address
205 Crenshaw Dr
Mansfield, TX 76063-3451
Phone
(214) 927-6539
Fax
(817) 394-1231
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Kendall M Polk, LSA,CSFANPI 1285009803
Title
Lsa,Csfa
Phone
(214) 927-6539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary
Orthopedic AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZX2200X

Addresses

Primary practice location

205 Crenshaw Dr
Mansfield, TX 76063-3451

Mailing address

3540 E. Braod St. Ste 102
PMB 237
Mansfield, TX 76063

Other identifiers 1

IdentifierTypeStateIssuer
1285009803OtherNPI

National Provider Directory

National Provider Directory

Locations

3540 E Broad St
Ste 102
Mansfield, TX 76063

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1225495708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E. BRAOD ST. STE 102",
            "address_2": "PMB 237",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CRENSHAW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633451",
            "telephone_number": "214-927-6539",
            "fax_number": "817-394-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LSA,CSFA",
        "authorized_official_telephone_number": "214-927-6539",
        "authorized_official_credential": "LSA,CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285009803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.