Individual provider Active NPI

Deanna R McCall, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1033123112
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04697 Issued in TX
Practice address
4131 S Buckner Blvd
Suite a
Dallas, TX 75227-4318
Phone
(214) 388-0202
Fax
(214) 388-0214
NPI assigned
Jul 27, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04697 TX Primary

Addresses

Primary practice location

4131 S Buckner Blvd
Suite a
Dallas, TX 75227-4318

Mailing address

4131 S Buckner Blvd Ste a
Dallas, TX 75227-4318
Phone (214) 388-0202

Other identifiers 1

IdentifierTypeStateIssuer
PA04697OtherTXPHYSICIAN ASSISTANTS

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04697TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Healthcare for Children Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deanna.mccall.1@12984.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12984/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1033123112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 S BUCKNER BLVD STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274318",
            "telephone_number": "214-388-0202",
            "fax_number": "214-388-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 S BUCKNER BLVD",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274318",
            "telephone_number": "214-388-0202",
            "fax_number": "214-388-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "DEANNA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANTS",
            "identifier": "PA04697",
            "state": "TX"
        }
    ],
    "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 Jun 17, 2010; 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.