Organization Active NPI

Dallas Ivf Surgery Center, LLC

Doing business as Dallas IVF Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Frisco, TX
National Provider Identifier
1619291192
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130022 Issued in TX
Legal business name
DALLAS IVF SURGERY CENTER, LLC
Doing business as
Dallas IVF Surgery Center
Practice address
2840 Legacy Drive
Suite 110
Frisco, TX 75034-6051
Phone
(214) 297-0022
Fax
(214) 297-0034
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Jessica Crabbe
Title
Executive Director
Phone
(214) 297-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 130022 TX Primary

Addresses

Primary practice location

2840 Legacy Drive
Suite 110
Frisco, TX 75034-6051

Mailing address

2840 Legacy Drive
Suite 110
Frisco, TX 75034-6051
Phone (214) 297-0022

Other names 1

  • Dallas IVF Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

2840 Legacy Dr
Ste 110
Frisco, TX 75034
Phone (214) 297-0022

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1619291192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DRIVE",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346051",
            "telephone_number": "214-297-0022",
            "fax_number": "214-297-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DRIVE",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346051",
            "telephone_number": "214-297-0022",
            "fax_number": "214-297-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS IVF SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "CRABBE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-297-0020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas IVF Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas IVF Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.