Individual provider Active NPI

Daniel D. Witheiler, M.D.

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
National Provider Identifier
1023083482
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
J2420 Issued in TX
Practice address
1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1264
Phone
(214) 941-7546
Fax
(214) 941-2442
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X J2420 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1264

Mailing address

1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1264
Phone (214) 941-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000049 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0941366702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel D. Witheiler, M.D. P.a.Group PAC ID 0749346500, 2 clinicians

Practice addresses (Care Compare)

1411 N Beckley Ave
Pavilion III Suite 470
Dallas, TX 75203-1264
Phone (214) 941-7546

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision58
Removal of skin lesions218
Removal of skin cancer443
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J2420TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel D. Witheiler, M.D. P.a. Mohs-Micrographic Surgery CurrentSince Dec 12, 2008 Accepting new patients

Locations

1411 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-4699

1411 N Beckley Ave
Ste 470
Dallas, TX 75203
Phone (214) 941-7546

Interoperability endpoints

  • Direct secure messaging: witheiler@dallasmohs.emadirect.md

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1023083482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031264",
            "telephone_number": "214-941-7546",
            "fax_number": "214-941-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031264",
            "telephone_number": "214-941-7546",
            "fax_number": "214-941-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHEILER",
        "first_name": "DANIEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.