CENTURY ANESTHESIA, PA
Complete NPI Record 1396001285
Anesthesiology in Dallas, TX

NPI Status: Active since April 05, 2012

Contact Information

5520 LBJ FWY STE 190
DALLAS, TX
ZIP 75240
Phone: (972) 636-5727

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Complete NPI Dataset

This page represents the complete record for NPI 1396001285. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1396001285
The country code in the location address of the provider being identified.
Entity Type Code: 2
The telephone number associated with the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The fax number associated with the location address of the provider being identified.
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Mailing Address: PO BOX 830923
The date that a record was last updated or changed.
Provider Business Mailing Address City Name: RICHARDSON
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address State Name: TX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 750830923
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8175168811
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8175168444
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 5520 LBJ FWY STE 190
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: DALLAS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: TX
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 752406246
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9726365727
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/5/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/17/2018
The date that a record was last updated or changed.
Authorized Official Last Name: RASHEED
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: HAROON
The first name of the authorized official.
Authorized Official Middle Name: ILYAS
The middle name of the authorized official.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 9726365727
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 367500000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207L00000X
Healthcare Provider Primary Taxonomy Switch 2: Y
Is Organization Subpart: N
Authorized Official Credential Text: MD
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP