Individual provider Active NPI

Dawn Denise Marshall, CST/CSFA

  • Surgical Assistant
  • San Antonio, TX
National Provider Identifier
1013316710
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
152254 Issued in TX
Practice address
540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924
Phone
(210) 352-5346
Fax
(210) 352-5367
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 152254 TX Primary

Addresses

Primary practice location

540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924

Mailing address

540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924
Phone (210) 352-5346

Other identifiers 2

IdentifierTypeStateIssuer
13780315OtherTXCAQH
152254OtherNBSTSA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152254TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Surgical Assistants, Inc. Surgical Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1013316710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "STE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583924",
            "telephone_number": "210-352-5346",
            "fax_number": "210-352-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "STE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583924",
            "telephone_number": "210-352-5346",
            "fax_number": "210-352-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DAWN",
        "middle_name": "DENISE",
        "credential": "CST/CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "152254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13780315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA",
            "identifier": "152254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.