Active NPI
Roby Dan Mize, MD
- Orthopaedic Surgery Physician
- Dallas, TX
National Provider Identifier
1740383652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E0559
- Practice address
- 8210 Walnut Hill LN
Suite 418, LB 37
Dallas, TX 75231-4405 - Phone
- (214) 484-7912
- Fax
- (214) 484-7912
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E0559 | TX | Primary |
Addresses
Primary practice location
8210 Walnut Hill LN
Suite 418, LB 37
Dallas, TX 75231-4405
Mailing address
8210 Walnut Hill LN
Suite 418, LB 37
Dallas, TX 75231-4405
Phone (214) 484-7912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0559 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1740383652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 418, LB 37",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-484-7912",
"fax_number": "214-484-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 418, LB 37",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-484-7912",
"fax_number": "214-484-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "ROBY",
"middle_name": "DAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E0559",
"primary": true
}
],
"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 Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.