Organization Active NPI

East Dallas Neurological Services

  • Neurology Physician
  • Mesquite, TX
National Provider Identifier
1780919332
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N3354 Issued in TX
Legal business name
EAST DALLAS NEUROLOGICAL SERVICES
Practice address
2540 North Galloway Avenue
105
Mesquite, TX 75150-4897
Phone
(972) 677-7157
Fax
(972) 677-7029
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Amir M Torabi, MDNPI 1548223324
Title
Dr.
Phone
(972) 677-7157

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X N3354 TX Primary

Addresses

Primary practice location

2540 North Galloway Avenue
105
Mesquite, TX 75150-4897

Mailing address

2540 North Galloway Avenue
105
Mesquite, TX 75150-4897
Phone (972) 677-7157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000606 TX Part B Supplier - Clinic/Group Practice 9436297223 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

4800 N Galloway Ave
Ste 200
Mesquite, TX 75150
Phone (972) 677-7157

Practitioners & affiliated clinicians

Practitioners 3

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1780919332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NORTH GALLOWAY AVENUE",
            "address_2": "105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504897",
            "telephone_number": "972-677-7157",
            "fax_number": "972-677-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 NORTH GALLOWAY AVENUE",
            "address_2": "105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504897",
            "telephone_number": "972-677-7157",
            "fax_number": "972-677-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DALLAS NEUROLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "TORABI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "972-677-7157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.