NPIMap

Organization Active NPI

North Dallas Urology Associates

Doing business as North Dallas Radiation Oncology Center

  • Urology Physician
  • Plano, TX
National Provider Identifier
1669419107
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NORTH DALLAS UROLOGY ASSOCIATES
Doing business as
North Dallas Radiation Oncology Center
Practice address
5300 W Plano Pkwy Ste 200
Plano, TX 75093-4861
Phone
(972) 612-8037
Fax
(972) 867-6049
NPI assigned
Jun 1, 2006
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Dr. Stephen J Lieman, M.D.NPI 1114981727
Title
President
Phone
(972) 612-8037

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Radiation Oncology Clinic/Center 261QX0203X
Urology Physician 208800000X Primary

Addresses

Primary practice location

5300 W Plano Pkwy Ste 200
Plano, TX 75093-4861

Mailing address

5300 W Plano Pkwy Ste 200
Plano, TX 75093-4861
Phone (972) 612-8037

Other names 1

  • North Dallas Radiation Oncology Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000818 TX Part B Supplier - Clinic/Group Practice 5395710933 Receives reassigned benefits from 14 practitioners
Practice locations: McKinney, TX; Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0861701North Dallas Urology Assoc5300 W Plano Pkwy Suite 200, Plano, TX 75093Provider-performed microscopyFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

4501 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (469) 815-7622

5300 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (972) 612-8037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFHAA

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1669419107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934861",
            "telephone_number": "972-612-8037",
            "fax_number": "972-867-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934861",
            "telephone_number": "972-612-8037",
            "fax_number": "972-867-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "LIEMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-612-8037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dallas Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.

Verify at the official NPI Registry.