Active NPI
Daniel D. Witheiler, M.D.
- MOHS-Micrographic Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- J2420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Southwestern Medical School at Dallas, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 58 |
| Removal of skin lesions | 218 |
| Removal of skin cancer | 443 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2420 | TX | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel D. Witheiler, M.D. P.a. | Mohs-Micrographic Surgery | Current | 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
- 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.
-
- MOHS-Micrographic Surgery Physician
- Dallas, TX
- NPI 1578701868
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.