Organization Active NPI

Regency Ambulatory Associates, LLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1962793364
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
REGENCY AMBULATORY ASSOCIATES, LLC
Practice address
8409 Pickwick LN # 237
Dallas, TX 75225-5323
Phone
(888) 559-2666
Fax
(903) 454-2257
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Rudy Granados
Title
MD
Phone
(888) 559-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8409 Pickwick LN # 237
Dallas, TX 75225-5323

Mailing address

8409 Pickwick LN # 237
Dallas, TX 75225-5323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1962793364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 PICKWICK LN # 237",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 PICKWICK LN # 237",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255323",
            "telephone_number": "888-559-2666",
            "fax_number": "903-454-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY AMBULATORY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "888-559-2666"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Jun 12, 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.

Verify at the official NPI Registry.