Organization Active NPI

Dallas Surgical Partners, LLC

Doing business as Physicians DaySurgery Center

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1346248440
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007821 Issued in TX
Legal business name
DALLAS SURGICAL PARTNERS, LLC
Doing business as
Physicians DaySurgery Center
Practice address
3930 Crutcher St
Dallas, TX 75246-1701
Phone
(214) 827-0760
Fax
(214) 827-0944
NPI assigned
Jul 12, 2005
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Peter Blach
Title
Medicare Authorized Official
Phone
(713) 343-0832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007821 TX Primary

Addresses

Primary practice location

3930 Crutcher St
Dallas, TX 75246-1701

Mailing address

3930 Crutcher St
Dallas, TX 75246-1701
Phone (214) 827-0760

Other identifiers 1

IdentifierTypeStateIssuer
085877102MedicaidTX

Other names 1

  • Physicians DaySurgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1346248440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 CRUTCHER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461701",
            "telephone_number": "214-827-0760",
            "fax_number": "214-827-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 CRUTCHER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461701",
            "telephone_number": "214-827-0760",
            "fax_number": "214-827-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-343-0832"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085877102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians DaySurgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians DaySurgery Center",
            "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 Aug 4, 2021; 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.