Organization Active NPI

Taryan Anesthesia Group PLLC

  • Certified Registered Nurse Anesthetist
  • Allen, TX
National Provider Identifier
1417628967
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TARYAN ANESTHESIA GROUP PLLC
Practice address
2023 W McDermott Dr Ste 240
Allen, TX 75013-4679
Phone
(972) 999-1659
Fax
(205) 729-5887
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Authorized official

Name
David Clark
Title
Admin
Phone
(972) 999-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2023 W McDermott Dr Ste 240
Allen, TX 75013-4679

Mailing address

2300 McDermott Rd Suite 200 #375
Plano, TX 75025-5542
Phone (972) 999-1659

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140280
Allen, TX 75013

2027 W McDermott Dr
Ste 240
Allen, TX 75013

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636156800000",
    "number": "1417628967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MCDERMOTT RD SUITE 200 #375",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255542",
            "telephone_number": "972-999-1659",
            "fax_number": "205-729-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR STE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134679",
            "telephone_number": "972-999-1659",
            "fax_number": "205-729-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARYAN ANESTHESIA GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "972-999-1659"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.