Individual provider Active NPI

Gaylan Jean Dascanio, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1447757539
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S8699 Issued in TX
Practice address
4100 Alpha Rd Ste 650
Dallas, TX 75244-4381
Phone
(972) 243-5437
NPI assigned
Apr 6, 2018
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S8699 TX Primary

Addresses

Primary practice location

4100 Alpha Rd Ste 650
Dallas, TX 75244-4381

Mailing address

2005 Tawakoni Dr
Irving, TX 75062-4806
Phone (805) 245-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S8699TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaylan Dascanio, MD, PLLC Pediatrics CurrentSince Jul 17, 2021 Accepting new patients

Locations

4100 Alpha Rd
Ste 650
Farmers Branch, TX 75244
Phone (972) 243-5437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1447757539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TAWAKONI DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624806",
            "telephone_number": "805-245-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ALPHA RD STE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444381",
            "telephone_number": "972-243-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCANIO",
        "first_name": "GAYLAN",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S8699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 16, 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.