Active NPI
TD Anesthesia Services
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1891166039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TD ANESTHESIA SERVICES
- Practice address
- 3728 Shady Hill Dr
Dallas, TX 75229-2711 - Phone
- (817) 516-8811
- Fax
- (817) 516-8444
- NPI assigned
- Oct 14, 2015
- 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
- Teran M Davis, DO
- Title
- Member
- Phone
- (817) 516-8811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
3728 Shady Hill Dr
Dallas, TX 75229-2711
Mailing address
3728 Shady Hill Dr
Dallas, TX 75229-2711
Phone (817) 516-8811
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444780800000",
"number": "1891166039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3728 SHADY HILL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752292711",
"telephone_number": "817-516-8811",
"fax_number": "817-516-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3728 SHADY HILL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752292711",
"telephone_number": "817-516-8811",
"fax_number": "817-516-8444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TD ANESTHESIA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "TERAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "817-516-8811",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.