Organization Active NPI

Dallas Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1497700280
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DALLAS ANESTHESIOLOGY ASSOCIATES, PA
Practice address
4144 N Central Expy Ste 360
Dallas, TX 75204-2156
Phone
(214) 827-7460
Fax
(214) 826-6858
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
John Andrew Humphrey, MDNPI 1881698769
Title
Authorized Representative
Phone
(214) 252-3511

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4144 N Central Expy Ste 360
Dallas, TX 75204-2156

Mailing address

4144 N Central Expy Ste 360
Dallas, TX 75204-2156
Phone (214) 827-7460

Other identifiers 1

IdentifierTypeStateIssuer
094765702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000588 TX Part B Supplier - Clinic/Group Practice 2769472901 Receives reassigned benefits from 27 practitioners
Practice locations: Dallas, TX; Heath, TX; Plano, TX; Rockwall, TX; Arlington, TX; Addison, TX

National Provider Directory

National Provider Directory

Locations

4144 N Central Expy
Ste 360
Dallas, TX 75204
Phone (214) 252-3511

4131 N Central Expy
Ste 435
Dallas, TX 75204
Phone (214) 252-3501

4131 N Central Expy
Ste 200
Dallas, TX 75204
Phone (214) 252-3500

9032 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 231-2273

Practitioners & affiliated clinicians

Practitioners 201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 201

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1497700280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY STE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042156",
            "telephone_number": "214-827-7460",
            "fax_number": "214-826-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY STE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042156",
            "telephone_number": "214-827-7460",
            "fax_number": "214-826-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ANESTHESIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-252-3511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094765702",
            "state": "TX"
        }
    ],
    "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 Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.