NPIMap

Organization Active NPI

Susan Bacsik DO PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1548752850
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M6511 Issued in TX
Legal business name
SUSAN BACSIK DO PLLC
Practice address
730 N Bishop Ave
Dallas, TX 75208-4338
Phone
(817) 946-0790
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Dr. Susan Leigh Bacsik, DONPI 1992911895
Title
Owner
Phone
(817) 946-0790

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
Primary Care Clinic/Center 261QP2300X M6511 TX Primary

Addresses

Primary practice location

730 N Bishop Ave
Dallas, TX 75208-4338

Mailing address

709 Haines Ave
Dallas, TX 75208-4032
Phone (817) 946-0790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1548752850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HAINES AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084032",
            "telephone_number": "817-946-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084338",
            "telephone_number": "817-946-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BACSIK DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "BACSIK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-946-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2018; 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.