NPIMap

Organization Active NPI

DFW Childrens Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1366809055
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DFW CHILDRENS SURGERY CENTER LLC
Practice address
5744 LBJ Fwy
Ste. 200
Dallas, TX 75240-6322
Phone
(214) 613-5110
NPI assigned
Jan 26, 2016
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Raymond Figueroa
Title
Ceo
Phone
(352) 857-8000

Specialties & licenses 1

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

Addresses

Primary practice location

5744 LBJ Fwy
Ste. 200
Dallas, TX 75240-6322

Mailing address

5744 LBJ Fwy
Ste. 200
Dallas, TX 75240-6322
Phone (713) 481-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160927001129 TX Part B Supplier - Ambulatory Surgical Center 1759678204 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366809055. Details of each certification follow.

Ambulatory surgical center certification: CCN 45C0001604

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DFW CHILDRENS SURGERY CENTER LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 6, 2017
Last certification
Jan 6, 2020
Ownership / control type
Proprietary
Facility address
5744 LBJ Freeway Suite 200
Dallas, TX 75240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1366809055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 LBJ FWY",
            "address_2": "STE. 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406322",
            "telephone_number": "713-481-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 LBJ FWY",
            "address_2": "STE. 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406322",
            "telephone_number": "214-613-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW CHILDRENS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-857-8000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.