Active NPI
Dallas Nephrology Associates
Doing business as Dallas Nephrology Associates Vascular Center of Plano
- Ambulatory Surgical Clinic/Center
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DALLAS NEPHROLOGY ASSOCIATES
- Doing business as
- Dallas Nephrology Associates Vascular Center of Plano
- Practice address
- 4401 Tradition TRL
Plano, TX 75093-5633 - Phone
- (214) 579-6600
- Fax
- (214) 579-6601
- NPI assigned
- Jun 11, 2006
- Last updated
- Nov 6, 2023
- Organization subpart
- Yes
- Parent organization
- DALLAS NEPHROLOGY ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Liang, MD
- Title
- President/Ceo
- Phone
- (214) 358-2300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
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 names 2
- Dallas Nephrology Associates Vascular Center of Plano
- DALLAS NEPHROLOGY ASSOCIATES PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180212000907 | TX | Part B Supplier - Ambulatory Surgical Center | 3870403819 | Practice locations: Plano, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Dallas Nephrology Associates Vascular Center Dallas
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
3870403819
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Dallas Nephrology Associates Dba Dallas Nephrology Associates Vascular Center Plano
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1055840 | Dallas Nephrology Associates Vascular Center | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider Directory- Part of
- Dallas Central Dialysis
Locations
1420 Viceroy Dr
Dallas, TX 75235
Ownership & related parties
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.
-
dba Dallas Nephrology Associates Laboratory
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1154376085
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.
-
- Nephrology Physician
- Irving, TX
- NPI 1720059850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"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
- Dallas Dermatology and Aesthetics, PLLC
- Dallas E & W OB/GYN Clinic, P.a.
- Dallas Interventional Pain PLLC
- Dallas Medical Physician Group
- Dallas MRI Center
- Dallas Neurorehab Center
- Dallas Neurosurgical Associates, P.a.
- Dallas Pain Relief Center, PC.
- Dallas Pediatric Dentistry, PA (Plano Pediatric Dentistry)
- Dallas Regenerative and Neuropathy Center PLLC
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.