Organization Active NPI

Neil H. Saretsky, M.D., P.a.

  • Specialist
  • Dallas, TX
National Provider Identifier
1497062434
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E6909 Issued in TX
Legal business name
NEIL H. SARETSKY, M.D., P.A.
Practice address
5468 La Sierra Drive
Suite 100
Dallas, TX 75231
Phone
(214) 368-4970
Fax
(214) 368-0177
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Neil H. Saretsky, M.D.
Title
President
Phone
(214) 368-4970

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X E6909 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X F1097 TX
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X E6909 TX

Addresses

Primary practice location

5468 La Sierra Drive
Suite 100
Dallas, TX 75231

Mailing address

5468 La Sierra Drive
Suite 100
Dallas, TX 75231
Phone (214) 368-4970

Other names 1

  • Sierra Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

5468 La Sierra Dr
Ste 100
Dallas, TX 75231
Phone (214) 368-4970

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1497062434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5468 LA SIERRA DRIVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-368-4970",
            "fax_number": "214-368-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5468 LA SIERRA DRIVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-368-4970",
            "fax_number": "214-368-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL H. SARETSKY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "SARETSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-368-4970",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E6909",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1097",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E6909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2012; 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.