Organization Active NPI

Neurology Diagnostic Centers of Dallas Inc

  • Specialist
  • Dallas, TX
National Provider Identifier
1750478913
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K6814 Issued in TX
Legal business name
NEUROLOGY DIAGNOSTIC CENTERS OF DALLAS INC
Practice address
9301 N Central Expy
Ste 585
Dallas, TX 75231-0811
Phone
(214) 363-3623
Fax
(214) 363-0869
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Ziad A Blaik, M.D.NPI 1912013756
Title
Owner
Phone
(214) 363-3623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K6814 TX Primary

Addresses

Primary practice location

9301 N Central Expy
Ste 585
Dallas, TX 75231-0811

Mailing address

9301 N Central Expy
Ste 585
Dallas, TX 75231-0811
Phone (214) 363-3623

Other identifiers 1

IdentifierTypeStateIssuer
184306201MedicaidTX

National Provider Directory

National Provider Directory

Locations

7502 Greenville Ave
Ste 450
Dallas, TX 75231
Phone (214) 363-3623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1750478913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "STE 585",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310811",
            "telephone_number": "214-363-3623",
            "fax_number": "214-363-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "STE 585",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310811",
            "telephone_number": "214-363-3623",
            "fax_number": "214-363-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY DIAGNOSTIC CENTERS OF DALLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "BLAIK",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-363-3623",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K6814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184306201",
            "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 Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.