Organization Active NPI

Liberty Surgical Associates

  • Surgical Technologist
  • Plano, TX
National Provider Identifier
1912327776
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
LIBERTY SURGICAL ASSOCIATES
Practice address
6900 N Dallas Pkwy
Suite 800
Plano, TX 75024-7144
Phone
(214) 396-7725
Fax
(214) 396-7725
NPI assigned
Apr 21, 2014
Last updated
Jan 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Authorized official

Name
Dr. Dustin Ray, M.D.NPI 1639351216
Title
Owner
Phone
(214) 315-6432

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
Surgical Technologist 246ZS0410X NU Primary

Addresses

Primary practice location

6900 N Dallas Pkwy
Suite 800
Plano, TX 75024-7144

Mailing address

6900 N Dallas Pkwy
Suite 800
Plano, TX 75024-7144
Phone (214) 396-7725

National Provider Directory

National Provider Directory
Tax ID family
Dr Dustin Ray PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483228800000",
    "number": "1912327776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N DALLAS PKWY",
            "address_2": "SUITE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247144",
            "telephone_number": "214-396-7725",
            "fax_number": "214-396-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N DALLAS PKWY",
            "address_2": "SUITE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247144",
            "telephone_number": "214-396-7725",
            "fax_number": "214-396-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2017-01-01",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-315-6432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.