Organization Active NPI

Neurological Associates of North Texas

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1619399706
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N6687 Issued in TX
Legal business name
NEUROLOGICAL ASSOCIATES OF NORTH TEXAS
Practice address
9330 Poppy Dr
500B
Dallas, TX 75218-4621
Phone
(214) 404-0993
NPI assigned
Jan 9, 2014
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Sharisse Stephenson, M.D.NPI 1538358684
Title
President
Phone
(214) 404-0993

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X N6687 TX Primary

Addresses

Primary practice location

9330 Poppy Dr
500B
Dallas, TX 75218-4621

Mailing address

9330 Poppy Dr
500B
Dallas, TX 75218-4621
Phone (214) 404-0993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140213000448 TX Part B Supplier - Clinic/Group Practice 6507095684 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Tax ID family
Neurological Associates of North Texas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1665 Antilley Rd
Ste 270
Abilene, TX 79606
Phone (214) 404-0993

10611 Garland Rd
Ste 201
Dallas, TX 75218
Phone (214) 320-0010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7875/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1619399706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR",
            "address_2": "500B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184621",
            "telephone_number": "214-404-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR",
            "address_2": "500B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184621",
            "telephone_number": "214-404-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHARISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-404-0993",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N6687",
            "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 12, 2015; 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.