Active NPI
David C. Dyslin, M.D
- Surgery Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J9667
- Practice address
- 811 W Interstate 20
Ste. 212
Arlington, TX 76017-5870 - Phone
- (817) 275-3309
- Fax
- (817) 275-0071
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J9667 | TX | Primary |
Addresses
Primary practice location
811 W Interstate 20
Ste. 212
Arlington, TX 76017-5870
Mailing address
811 W Interstate 20
Ste. 212
Arlington, TX 76017-5870
Phone (817) 275-3309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047169002 | Medicaid | TX | |
| 047169001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tulane University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1017 W Randol Mill Rd
Suite B
Arlington, TX 76012-2513
Phone (682) 712-1132
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9667 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frio Hospital Association | Current | Accepting new patients | |
| Home Dialysis of Illinois LLC | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Surgery | Current | Accepting new patients |
| USA Vascular Center of Dallas PLLC | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Interventional and Vascular Specialists PA | Current | Accepting new patients | |
| Arlington Physician Services PA | Surgery | Current | Accepting new patients |
| Northstar Dermatology, PA | Past | Accepting new patients |
Locations
304 Wainwright Dr
Ste 120
Northbrook, IL 60062
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
1001 N Waldrop Dr
Ste 802
Arlington, TX 76012
Phone (817) 275-3309
1017 W Randol Mill Rd
Ste A
Arlington, TX 76012
Phone (682) 712-1256
12180 N Mopac Expy
Ste 1A1
Austin, TX 78758
Phone (737) 301-4150
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
801 W FM 117
Dilley, TX 78017
Phone (830) 326-3171
10840 Texas Health Trl
Ste 265
Fort Worth, TX 76244
Phone (817) 741-2601
5320 North Tarrant Pkwy
Ste 200
Fort Worth, TX 76244
Phone (817) 427-3376
2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400
2615 Southwest Fwy
Ste 220
Houston, TX 77098
Phone (713) 527-8721
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126
5501 Independence Pkwy
Ste 107
Plano, TX 75023
Phone (972) 612-9948
930 E Campbell Rd
Richardson, TX 75081
Phone (469) 498-9844
2020 Babcock Rd
Ste 12A
San Antonio, TX 78229
Phone (726) 200-7458
22625 Tomball Pkwy
Ste 450A
Tomball, TX 77375
Phone (281) 661-5076
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- david.olddyslin.p1@direct.thc.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Dallas, TX
- NPI 1205488632
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
Surgery
-
- Critical Access Hospital Clinic/Center
- Pearsall, TX
- NPI 1952308132
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Vascular Surgery Physician
- Wylie, TX
- NPI 1245875061
-
- Vascular Surgery Physician
- Houston, TX
- NPI 1962849034
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Northbrook, IL
- NPI 1881304566
-
- Dermatology Physician
- North Richland Hills, TX
- NPI 1407176043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1720051212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W INTERSTATE 20",
"address_2": "STE. 212",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760175870",
"telephone_number": "817-275-3309",
"fax_number": "817-275-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W INTERSTATE 20",
"address_2": "STE. 212",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760175870",
"telephone_number": "817-275-3309",
"fax_number": "817-275-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSLIN",
"first_name": "DAVID",
"middle_name": "C.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J9667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047169002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047169001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.