NPIMap

Organization Active NPI

Peloza Surgical Services, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1265893085
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G7094 Issued in TX
Legal business name
PELOZA SURGICAL SERVICES, PLLC
Practice address
17980 Dallas Pkwy
Suite 300
Dallas, TX 75287-6702
Phone
(214) 378-7200
Fax
(214) 378-7200
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
John Peloza, MD
Title
Managing Physician
Phone
(214) 378-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X G7094 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA01810 TX

Addresses

Primary practice location

17980 Dallas Pkwy
Suite 300
Dallas, TX 75287-6702

Mailing address

17980 Dallas Pkwy
Suite 300
Dallas, TX 75287-6702
Phone (214) 378-7200

Other names 1

  • Center for Spine Care Doing business as

National Provider Directory

National Provider Directory

Locations

17980 Dallas Pkwy
Ste 300
Dallas, TX 75287
Phone (214) 378-7200

Practitioners & affiliated clinicians

Practitioners 5

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": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1265893085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17980 DALLAS PKWY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876702",
            "telephone_number": "214-378-7200",
            "fax_number": "214-378-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17980 DALLAS PKWY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876702",
            "telephone_number": "214-378-7200",
            "fax_number": "214-378-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELOZA SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "PELOZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "214-378-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G7094",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Spine Care",
            "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 Mar 18, 2016; 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.