NPIMap

Organization Active NPI

Highland Park Plastic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1962504803
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000351 Issued in TX
Legal business name
HIGHLAND PARK PLASTIC SURGERY CENTER, LLC
Doing business as
Highland Park Plastic Surgery Center
Practice address
6110 Sherry LN
Dallas, TX 75225-6301
Phone
(214) 363-4444
Fax
(214) 363-8064
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. George A Toledo, M.D., P.A.NPI 1023114402
Title
President
Phone
(214) 363-4444

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
Ambulatory Surgical Clinic/Center 261QA1903X 000351 TX Primary

Addresses

Primary practice location

6110 Sherry LN
Dallas, TX 75225-6301

Mailing address

6110 Sherry LN
Dallas, TX 75225-6301
Phone (214) 363-4444

Other names 1

  • Highland Park Plastic Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001210

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HIGHLAND PARK PLASTIC SURGERY
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 10, 1997
Last certification
Feb 28, 2022
Ownership / control type
Proprietary
Facility address
6110 Sherry Lane
Dallas, TX 75225

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1962504803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256301",
            "telephone_number": "214-363-4444",
            "fax_number": "214-363-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256301",
            "telephone_number": "214-363-4444",
            "fax_number": "214-363-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK PLASTIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-363-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.