Individual provider Active NPI

John Michael Desaloms, M.D.

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1699761510
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
J5562 Issued in TX
Practice address
8230 Walnut Hill LN
Ste 220
Dallas, TX 75231-4482
Phone
(214) 750-3646
Fax
(214) 363-2351
NPI assigned
Sep 26, 2005
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X J5562 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN
Ste 220
Dallas, TX 75231-4482

Mailing address

8230 Walnut Hill LN
Ste 220
Dallas, TX 75231-4482
Phone (214) 750-3646

Other identifiers 1

IdentifierTypeStateIssuer
043005001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000367 TX Practitioner - Neurosurgery 2062595101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Baylor College of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Dallas Neurosurgical Associates PAGroup PAC ID 1254386907, 15 clinicians

Practice addresses (Care Compare)

6101 W Plano Pkwy
Suite 100
Plano, TX 75093-8201
Phone (214) 750-3646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Neurosurgical Associates, P.a. CurrentSince Jul 1, 1998 Accepting new patients

Locations

7515 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 445-6970

8230 Walnut Hill Ln
Ste 220
Dallas, TX 75231
Phone (214) 345-8692

6101 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (214) 750-3646

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1699761510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-750-3646",
            "fax_number": "214-363-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-750-3646",
            "fax_number": "214-363-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALOMS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J5562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043005001",
            "state": "TX"
        }
    ],
    "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 24, 2014; 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.