Individual provider Active NPI

Franklin J Dzida, M.D.

  • Orthopaedic Surgery Physician
  • Midland, TX
National Provider Identifier
1043270085
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H2119 Issued in TX
Practice address
5615 Deauville Blvd
Ste 220
Midland, TX 79706
Phone
(432) 686-0321
Fax
(432) 686-0664
NPI assigned
Mar 24, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H2119 TX Primary

Addresses

Primary practice location

5615 Deauville Blvd
Ste 220
Midland, TX 79706

Mailing address

5615 Deauville Blvd
Ste 220
Midland, TX 79706
Phone (432) 686-0321

Other identifiers 6

IdentifierTypeStateIssuer
127986100OtherTXFIRST CARE
0407355-05MedicaidTX
0074GUOtherTXBLUE CROSS BLUE SHIELD
200042804OtherTXMEDICARE RAILROAD
4229388OtherTXAETNA
040735502MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address franklin.dzida.1@9925.direct.athenahealth.com Direct

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
I20100714000552 TX Practitioner - Orthopedic Surgery 2567594377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2119TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc Orthopaedic Surgery CurrentSince Jan 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Jan 1, 2017 Accepting new patients
West Texas Orthopedics LLP Orthopaedic Surgery Past Accepting new patients
Permian Orthopaedic Associates Orthopaedic Surgery Past Accepting new patients

Locations

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

Organizations & group practices 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043270085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIDA",
        "first_name": "FRANKLIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H2119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "127986100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407355-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0074GU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200042804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4229388",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040735502",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "franklin.dzida.1@9925.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Blvd",
            "address_2": "Ste 220",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.