Organization Active NPI

Surgical Specialists of South Dallas, PA

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1811210693
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
612049 Issued in TX
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

Updated by the provider on Mar 8, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.