Individual provider Active NPI

Maria Elizabeth Laconi, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1275386245
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17488 Issued in TX
Practice address
8160 Walnut Hill LN Ste 320
Dallas, TX 75231-4391
Phone
(214) 307-7799
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17488 TX Primary
Medical Physician Assistant 363AM0700X PA9118370 FL

Addresses

Primary practice location

8160 Walnut Hill LN Ste 320
Dallas, TX 75231-4391

Mailing address

15201 Pleasant Ridge Way # 4303
Frisco, TX 75033-0373
Phone (317) 414-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423000368 TX Practitioner - Physician Assistant 8022533017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118370FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince May 18, 2025 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince May 19, 2025 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince May 19, 2025 Accepting new patients

Locations

8160 Walnut Hill Ln
Ste 320
Dallas, TX 75231
Phone (214) 307-7799

3500 Gaston Ave
Dallas, TX 75246

Interoperability endpoints

  • Direct secure messaging: maria.laconi.1@8042.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1275386245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 PLEASANT RIDGE WAY # 4303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330373",
            "telephone_number": "317-414-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314391",
            "telephone_number": "214-307-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACONI",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17488",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.