Active NPI
Surgical Specialists of South Dallas, PA
- Surgery Physician
- Dallas, TX
National Provider Identifier
1811210693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 612049
- Legal business name
- SURGICAL SPECIALISTS OF SOUTH DALLAS, PA
- Practice address
- 3430 W Wheatland Rd
Suite 407
Dallas, TX 75237-3446 - Phone
- (972) 216-9511
- NPI assigned
- Mar 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurel L Powell, MD
- Title
- Owner
- Phone
- (972) 216-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 612049 | TX | Primary |
Addresses
Primary practice location
3430 W Wheatland Rd
Suite 407
Dallas, TX 75237-3446
Mailing address
3430 W Wheatland Rd
Suite 407
Dallas, TX 75237-3446
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1811210693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD",
"address_2": "SUITE 407",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD",
"address_2": "SUITE 407",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373446",
"telephone_number": "972-216-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF SOUTH DALLAS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "LAUREL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-216-9511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "612049",
"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 Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.