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NORTH DALLAS SURGICAL SPECIALISTS, PA
NPI 1912935560
Surgery in Richardson, TX

Active since June 30, 2006
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082(972) 487-6400(972) 487-1686 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2022, Mar 7, 2018 (2 updates tracked since 2018).

About North Dallas Surgical Specialists, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DALLAS SURGICAL SPECIALISTS, PA (NPI 1912935560) is a healthcare organization registered as a surgery in Richardson, Texas and active in the NPI registry since June 2006. The organization lists Kelly Vacendak, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912935560
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNORTH DALLAS SURGICAL SPECIALISTS, PA
Location Address3600 SHIRE BLVD STE 104Richardson, TX 75082-2236
Mailing Address3600 Shire Blvd Ste 104Richardson, TX 75082-2236 · (972) 487-6400 · Fax (972) 487-1686
Phone(972) 487-6400
Fax(972) 487-1686
Organization SubpartNo
Authorized OfficialKelly VacendakOffice Manager · (972) 487-6400
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1912935560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3600 SHIRE BLVD STE 104, Richardson, TX 75082
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Other Identifiers 1

Medicaid080799202TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKIESHA BOHANNON PA
Physician Assistant (Surgical)
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Dallas County (972) 487-6400
DR. RONALD DENNIS BAXTER JR. M.D.
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Dallas County (972) 487-6400
DR. WALTER STUART JOHNSTON M.D.
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Dallas County (972) 487-6400
DR. THOMAS TIEN-YAU WANG MD
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Dallas County (972) 487-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Dallas Surgical Specialists, PA's NPI number?

The NPI number for North Dallas Surgical Specialists, PA is 1912935560. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is North Dallas Surgical Specialists, PA located?

North Dallas Surgical Specialists, PA is located at 3600 Shire Blvd Ste 104, Richardson, TX 75082. The listed phone number is (972) 487-6400.

What is North Dallas Surgical Specialists, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does North Dallas Surgical Specialists, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list North Dallas Surgical Specialists, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Dallas Surgical Specialists, PA was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.