Organization Active NPI

Alliance Neurosurgery PLLC

  • Surgery Physician
  • Irving, TX
National Provider Identifier
1528676145
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ALLIANCE NEUROSURGERY PLLC
Practice address
1110 Cottonwood LN Ste 110a
Irving, TX 75038-6117
Phone
(972) 573-5300
NPI assigned
Jul 20, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
David G Rubin, MDNPI 1013160209
Title
Physician
Phone
(916) 541-9845

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)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1110 Cottonwood LN Ste 110a
Irving, TX 75038-6117

Mailing address

2633 McKinney Ave Ste 130-725
Dallas, TX 75204-2581
Phone (972) 573-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202001605 TX DME Supplier - Physician - Neurosurgery 1456779545 Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

2633 McKinney Ave
Ste 130725
Dallas, TX 75204

1110 Cottonwood Ln
Ste 110A
Irving, TX 75038
Phone (972) 573-5300

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1528676145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 MCKINNEY AVE STE 130-725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042581",
            "telephone_number": "972-573-5300",
            "fax_number": "972-573-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 110A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-573-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE NEUROSURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-541-9845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.