Organization Active NPI

Integrated First Surgical Assist

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1346874872
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INTEGRATED FIRST SURGICAL ASSIST
Practice address
12606 Greenville Ave
Dallas, TX 75243-1921
Phone
(972) 982-7835
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Moshe Feldhendler, MD
Title
Owner
Phone
(214) 500-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

12606 Greenville Ave
Dallas, TX 75243-1921

Mailing address

5995 Summerside Dr Unit 797962
Dallas, TX 75379-0220
Phone (214) 390-7697

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dallas Other

National Provider Directory

National Provider Directory

Locations

5995 Summerside Dr
Unit 797962
Dallas, TX 75379

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1346874872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SUMMERSIDE DR UNIT 797962",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753790220",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "972-982-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FIRST SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "FELDHENDLER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-500-5755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Dallas",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dallas",
            "address_1": "12606 Greenville Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 1, 2024; 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.