Organization Active NPI

Ivan Vrcek MD PA

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1821523283
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
Q2218 Issued in TX
Legal business name
IVAN VRCEK MD PA
Practice address
9301 N Central Expy Ste 595
Dallas, TX 75231-0812
Phone
(214) 522-7733
Fax
(214) 521-5433
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Ivan Vrcek, M.D.NPI 1184914806
Title
President
Phone
(713) 876-3737

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
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Q2218 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 595
Dallas, TX 75231-0812

Mailing address

9301 N Central Expy Ste 595
Dallas, TX 75231-0812
Phone (214) 522-7733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170602001856 TX Part B Supplier - Clinic/Group Practice 3375810989 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

9301 N Central Expy
Ste 595
Dallas, TX 75231
Phone (214) 522-7733

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": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1821523283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310812",
            "telephone_number": "214-522-7733",
            "fax_number": "214-521-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310812",
            "telephone_number": "214-522-7733",
            "fax_number": "214-521-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN VRCEK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "VRCEK",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-876-3737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "Q2218",
            "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 Apr 24, 2017; 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.