David B. Serota, MD, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M5493 Issued in TX

Legal business name

DAVID B. SEROTA, MD, PA

Practice address

9440 Poppy Dr
Dallas, TX 75218-3652

Phone

(214) 402-8106

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Marci Serota, R.D.

Title

Buisness Administrator

Phone

(214) 402-8106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• David Serota, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1679501639
  Medicare reassignment NPD

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1750573184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670654",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670654",
            "telephone_number": "214-402-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 POPPY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183652",
            "telephone_number": "214-402-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SEROTA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "SEROTA",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "BUISNESS ADMINISTRATOR",
        "authorized_official_telephone_number": "214-402-8106",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.