Individual provider Active NPI

Jeremy Shane Dollar, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1447524939
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07624 Issued in TX
Practice address
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Phone
(480) 414-6886
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07624 TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Suite 200
Plano, TX 75093-8171

Mailing address

PO Box 470281
Fort Worth, TX 76147-0281
Phone (480) 414-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000132 TX Practitioner - Physician Assistant 5193980852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

11990 N Central Expy
Med City Spine Hosp
Dallas, TX 75243-3714
Phone (972) 234-1900

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

2727 E Lemmon Ave
Baylor Scott and White Medical Center
Dallas, TX 75204-2833
Phone (214) 443-3000

3124 E Broad St
Suite 321
Mansfield, TX 76063-6426
Phone (682) 518-1215

8200 Walnut Hill LN
Texas Health Presbyterian Hospital
Dallas, TX 75231-4426
Phone (214) 345-6789

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07624TXMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1447524939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470281",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761470281",
            "telephone_number": "480-414-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "480-414-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLAR",
        "first_name": "JEREMY",
        "middle_name": "SHANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.