NPIMap

Organization Active NPI

Dallas Nephrology Associates

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
National Provider Identifier
1497797005
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DALLAS NEPHROLOGY ASSOCIATES
Practice address
4401 Tradition TRL
Plano, TX 75093-5633
Phone
(214) 579-6600
Fax
(214) 579-6601
NPI assigned
Jun 11, 2006
Organization subpart
Yes
Parent organization
DALLAS NEPHROLOGY ASSOCIATESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Alexander Liang, MDNPI 1720059850
Title
President/Ceo
Phone
(214) 358-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 156

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

View all 156

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Dallas Nephrology Associates Dba Dallas Nephrology Associates Vascular Center PlanoCCN 45C0001645
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1055840Dallas Nephrology Associates Vascular Center4401 Tradition Trail, Plano, TX 75093Certificate of waiverJun 27, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212000907 TX Part B Supplier - Ambulatory Surgical Center 3870403819 Practice locations: Plano, TX

National Provider Directory

National Provider Directory
Part of
Ancdallas Nephrology As

Locations

4401 Tradition Trl
Plano, TX 75093
Phone (214) 579-6600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

NPPES NPI Registry

Primary practice location

4401 Tradition TRL
Plano, TX 75093-5633

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
LICENSEOtherTX130356

Other names 2

NPPES NPI Registry
  • Dallas Nephrology Associates Vascular Center of Plano Doing business as
  • DALLAS NEPHROLOGY ASSOCIATES PA Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2023.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1497797005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 TRADITION TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935633",
            "telephone_number": "214-579-6600",
            "fax_number": "214-579-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DALLAS NEPHROLOGY ASSOCIATES",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-358-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "130356",
            "identifier": "LICENSE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Nephrology Associates Vascular Center of Plano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DALLAS NEPHROLOGY ASSOCIATES PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.