Organization Active NPI

Cosmetic Surgical Center PA

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1366549537
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
COSMETIC SURGICAL CENTER PA
Practice address
7777 Forest Lane
Suite # C612
Dallas, TX 75230-2520
Phone
(972) 392-3511
Fax
(972) 788-0907
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Vasdev S Rai, MDNPI 1932644069
Title
President
Phone
(972) 392-3511

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

7777 Forest Lane
Suite # C612
Dallas, TX 75230-2520

Mailing address

7777 Forest Lane
Suite # C612
Dallas, TX 75230-2520
Phone (972) 392-3511

Other names 1

  • Cosmetic Surgical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2080658Cosmetic Surgical Center7777 Forest Lane Suite C612, Dallas, TX 75230Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste C612
Dallas, TX 75230
Phone (972) 392-3511

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1366549537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "SUITE # C612",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302520",
            "telephone_number": "972-392-3511",
            "fax_number": "972-788-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "SUITE # C612",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302520",
            "telephone_number": "972-392-3511",
            "fax_number": "972-788-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC SURGICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "VASDEV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-392-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Surgical 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 Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.