NPIMap

Organization Active NPI

ZL Dallas Spine LLC

  • Anesthesiology Physician
  • Addison, TX
National Provider Identifier
1790110872
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ZL DALLAS SPINE LLC
Practice address
17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105
Phone
(214) 888-3900
Fax
(214) 888-3901
NPI assigned
Sep 9, 2013
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Pablo Zablos
Title
Owner / Director / Physician
Phone
(214) 888-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105

Mailing address

PO Box 41
Muncie, IN 47308-0041
Phone (765) 284-0493

Other identifiers 1

IdentifierTypeStateIssuer
00C3600OtherTXBCBS ID NUMBER

National Provider Directory

National Provider Directory

Locations

17051 Dallas Pkwy
#30
Addison, TX 75001
Phone (214) 888-3900

4848 Lemmon Ave
Ste 783
Dallas, TX 75219

7115 Greenville Ave
Ste 230
Dallas, TX 75231
Phone (214) 888-3888

Practitioners & affiliated clinicians

Practitioners 4

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1790110872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080041",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017105",
            "telephone_number": "214-888-3900",
            "fax_number": "214-888-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZL DALLAS SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "ZABLOS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER / DIRECTOR / PHYSICIAN",
        "authorized_official_telephone_number": "214-888-3900"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "00C3600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.