Individual provider Active NPI

David C. Dyslin, M.D

  • Surgery Physician
  • Arlington, TX
National Provider Identifier
1720051212
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J9667 Issued in TX
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

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
047169002MedicaidTX
047169001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000193 TX Practitioner - General SurgeryPractitioner - Other (Physician) 2567637457 Reassigns benefits to 5 organizations

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
USA Vein Clinics of Dallas PLLCGroup PAC ID 2365878295, 8 clinicians

Practice addresses (Care Compare)

1017 W Randol Mill Rd
Suite B
Arlington, TX 76012-2513
Phone (682) 712-1132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9667TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Oct 2, 2023 Accepting new patients
Home Dialysis of Illinois LLC CurrentSince Dec 31, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Surgery CurrentSince Dec 1, 2018 Accepting new patients
USA Vascular Center of Dallas PLLC CurrentSince Nov 13, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Interventional and Vascular Specialists PA CurrentSince Dec 13, 2024 Accepting new patients
Arlington Physician Services PA Surgery CurrentSince Dec 20, 2023 Accepting new patients
Northstar Dermatology, PA PastSince Oct 5, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.