Dallas ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DALLAS ASC, LLC

Doing business as

North Park Heart & Vascular Surgery Center

Practice address

11970 N Central Expy Ste 610
Dallas, TX 75243-3768

Phone

(469) 232-9393

NPI assigned

Sep 11, 2017

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Marie Bemis

Title

Authorized Official

Phone

(858) 504-5667

Specialties & licenses 1

Addresses

Other names 1

• North Park Heart & Vascular Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

North Park Heart Vascular Surgery CenterCCN 45C0001661

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cardiac Cath Lab of Dallas, LP

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1790031037

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tulio A Diaz, M.D.

  • Interventional Cardiology Physician
  • Dallas, TX
  • NPI 1992739270
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1245759356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 6015",
            "address_2": "PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "469-232-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "858-504-5667"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Park Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Park Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Anesthesia Group Central, PLLC (Dallas Anesthesia Group)
• Dallas Anesthesia Group, PLLC
• Dallas Anesthesiology Associates, PA
• Dallas Anesthesiology Group PA
• Dallas Arthritis Center,PA
• Dallas Behavioral Health LLC (Trinity River Recovery Center)
• Dallas Bone and Joint Clinic Association
• Dallas Cardiac Associates, P.a.
• Dallas Careservices LLC (AllianceCare)
• Dallas CBT PLLC

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.