Active NPI
Quality Assist, LLC
- Surgical Assistant
- Mansfield, TX
National Provider Identifier
1225495708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendall M Polk, LSA,CSFA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary | ||
| Orthopedic Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285009803 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgical Assistant
- Mansfield, TX
- NPI 1285009803
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.