Organization Active NPI

Complex Vein and Vascular Specialists, PLLC

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1750965554
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COMPLEX VEIN AND VASCULAR SPECIALISTS, PLLC
Practice address
12740 Hillcrest Rd Ste 265
Dallas, TX 75230-2086
Phone
(469) 780-2300
Fax
(469) 780-2301
NPI assigned
May 7, 2021
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Marc A. Salhanick, MDNPI 1396189932
Title
Owner
Phone
(214) 499-6906

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

12740 Hillcrest Rd Ste 265
Dallas, TX 75230-2086

Mailing address

12740 Hillcrest Rd Ste 272
Dallas, TX 75230-2011
Phone (469) 780-2300

Other practice location 1

475 Elm St Ste 201
Lewisville, TX 75057-3764
Phone (469) 780-2300

Other practice location 2

11970 N Central Expy
Dallas, TX 75243-3768
Phone (469) 780-2300

Other practice location 3

4500 Medical Center Dr
McKinney, TX 75069-1650
Phone (469) 780-2300

Other practice location 4

11970 N Central Expy Ste 610
Dallas, TX 75243-3768
Phone (469) 780-2300

Other practice location 5

6800 N MacArthur Blvd
Irving, TX 75039-2422
Phone (469) 780-2300

Other practice location 6

7777 Forest Ln
Dallas, TX 75230-2571
Phone (469) 780-2300

Other practice location 7

500 W Main St
Lewisville, TX 75057-3641
Phone (469) 780-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526001089 TX Part B Supplier - Clinic/Group Practice 7719386614 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX; McKinney, TX; Lewisville, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

12720 Hillcrest Rd
Ste 272
Dallas, TX 75230

12740 Hillcrest Rd
Ste 272
Dallas, TX 75230
Phone (469) 514-4113

475 Elm St
Ste 201
Lewisville, TX 75057
Phone (214) 222-4370

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": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1750965554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 HILLCREST RD STE 272",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302011",
            "telephone_number": "469-780-2300",
            "fax_number": "972-848-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HILLCREST RD STE 265",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302086",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Elm St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573764",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11970 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433768",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691650",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11970 N Central Expy Ste 610",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433768",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392422",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573641",
            "country_code": "US",
            "telephone_number": "469-780-2300",
            "fax_number": "469-780-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLEX VEIN AND VASCULAR SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SALHANICK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-499-6906",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "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 Feb 26, 2024; 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.