Organization Active NPI

Faith Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1770207599
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FAITH AMBULATORY SURGERY CENTER
Practice address
8616 Greenville Ave Ste 101
Dallas, TX 75243-7166
Phone
(972) 999-1659
Fax
(972) 805-2777
NPI assigned
Sep 27, 2022
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Thomas Jefferson
Title
Practice Consultant
Phone
(972) 999-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

8616 Greenville Ave Ste 101
Dallas, TX 75243-7166

Mailing address

8616 Greenville Ave Ste 101
Dallas, TX 75243-7166
Phone (972) 999-1659

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
45D2271405Faith Ambulatory Surgery Center8616 Greenville Ave Suite 101, Dallas, TX 75243Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1770207599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 GREENVILLE AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437166",
            "telephone_number": "972-999-1659",
            "fax_number": "972-805-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 GREENVILLE AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437166",
            "telephone_number": "972-999-1659",
            "fax_number": "972-805-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "972-999-1659"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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 Oct 20, 2025; 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.