Individual provider Active NPI

Teddrick Lovell Dunson, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
National Provider Identifier
1043363443
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q6623 Issued in TX
Practice address
4301 N Macarthur Blvd Ste 107
Irving, TX 75038-6497
Phone
(469) 351-3432
Fax
(469) 333-8025
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Q6623 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd Ste 107
Irving, TX 75038-6497

Mailing address

4301 N Macarthur Blvd Ste 107
Irving, TX 75038-6497
Phone (469) 351-3432

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
I20160304000647 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 8628172889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 N Macarthur Blvd
520 Thrive Pain Management
Irving, TX 75061-2217
Phone (469) 351-3432

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teddrick Dunson, PLLC Pain Medicine CurrentSince Jul 9, 2018 Accepting new patients

Locations

2021 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (469) 351-3432

4301 N MacArthur Blvd
Ste 107
Irving, TX 75038
Phone (469) 351-3432

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1043363443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD STE 107",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "469-351-3432",
            "fax_number": "469-333-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD STE 107",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "469-351-3432",
            "fax_number": "469-333-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSON",
        "first_name": "TEDDRICK",
        "middle_name": "LOVELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.