Organization Active NPI

Greater Dallas Anesthesia &Pain Management

  • Specialist
  • Sanger, TX
National Provider Identifier
1457407207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K4347 Issued in TX
Legal business name
GREATER DALLAS ANESTHESIA &PAIN MANAGEMENT
Practice address
105 N. Stemmons Freeway
Suite 101
Sanger, TX 76266-0640
Phone
(940) 458-2828
Fax
(940) 458-2522
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tasneem K. Agha, M.D.NPI 1740378801
Title
Owner-Director
Phone
(940) 458-2828

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
Specialist 174400000X K4347 TX Primary

Addresses

Primary practice location

105 N. Stemmons Freeway
Suite 101
Sanger, TX 76266-0640

Mailing address

PO Box 640
Sanger, TX 76266-0640
Phone (940) 458-2828

Other identifiers 1

IdentifierTypeStateIssuer
8A4960OtherTXBC-BS PROVIDER#

National Provider Directory

National Provider Directory
Tax ID family
Greater Dallas Anesthesia Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457407207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762660640",
            "telephone_number": "940-458-2828",
            "fax_number": "940-458-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. STEMMONS FREEWAY",
            "address_2": "SUITE 101",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762660640",
            "telephone_number": "940-458-2828",
            "fax_number": "940-458-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DALLAS ANESTHESIA &PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "940-458-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER#",
            "identifier": "8A4960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.