NPIMap

Organization Active NPI

Ut Southwestern Medical Center

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1720362502
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
589350 Issued in TX
Legal business name
UT SOUTHWESTERN MEDICAL CENTER
Practice address
5303 Harry Hines Blvd
Dallas, TX 75390-8855
Phone
(214) 645-2300
Fax
(214) 645-2301
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Duke Samson, MDNPI 1497822829
Title
Chairman, Neurosurgery
Phone
(214) 648-6727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 589350 TX Primary
Medicare Defined Swing Bed Hospital Unit 275N00000X 589350 TX

Addresses

Primary practice location

5303 Harry Hines Blvd
Dallas, TX 75390-8855

Mailing address

5161 Harry Hines Blvd
Dallas, TX 75235-7707
Phone (214) 648-7850

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
45D0984326Ut Southwestern Medical Center - Dallas5303 Harry Hines Blvd 4TH Floor, Dallas, TX 75390Certificate of waiverNov 25, 2026
45D2325684Ut Southwestern Medical Center5303 Harry Hines Blvd, Dallas, TX 75390Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
The University of Texas at Arlington79 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1720362502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357707",
            "telephone_number": "214-648-7850",
            "fax_number": "214-648-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753908855",
            "telephone_number": "214-645-2300",
            "fax_number": "214-645-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "DUKE",
        "authorized_official_title_or_position": "CHAIRMAN, NEUROSURGERY",
        "authorized_official_telephone_number": "214-648-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "589350",
            "primary": true
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "589350",
            "primary": false
        }
    ],
    "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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.