Organization Active NPI

Gregg M Anigian MD PA

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1255535464
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H7116 Issued in TX
Legal business name
GREGG M ANIGIAN MD PA
Practice address
8220 Walnut Hill LN
#108
Dallas, TX 75231-4427
Phone
(214) 369-0006
Fax
(214) 369-0190
NPI assigned
Jun 12, 2007
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Gregg Michael Anigian, M.D.NPI 1538169966
Title
President
Phone
(214) 369-0006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X H7116 TX Primary

Addresses

Primary practice location

8220 Walnut Hill LN
#108
Dallas, TX 75231-4427

Mailing address

8220 Walnut Hill LN
#108
Dallas, TX 75231-4427
Phone (214) 369-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101111000673 TX Part B Supplier - Clinic/Group Practice 6800081233 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

8220 Walnut Hill Ln
Ste 108
Dallas, TX 75231
Phone (214) 369-0006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1255535464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "#108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-0006",
            "fax_number": "214-369-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "#108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-0006",
            "fax_number": "214-369-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG M ANIGIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ANIGIAN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-369-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H7116",
            "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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.