Active NPI
John H Dalton, MD
- Pediatrics Physician
- Hurst, TX
National Provider Identifier
1053409888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D9410
- Practice address
- 731 Martin Rd
Hurst, TX 76054-2703 - Phone
- (817) 514-0346
- Fax
- (817) 514-0885
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D9410 | TX | Primary |
Addresses
Primary practice location
731 Martin Rd
Hurst, TX 76054-2703
Mailing address
PO Box 99371
Fort Worth, TX 76199-0371
Phone (682) 885-1855
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126950806 | Medicaid | TX | |
| 148395 | Other | TX | PHCS PIN |
| 126950807 | Other | TX | CSHCN |
| 1618346 | Other | TX | CIGNA PIN |
| DALJC14989 | Other | TX | CCHIP PIN |
| 86W430 | Other | TX | BCBSTX IND PIN |
| 4019308 | Other | TX | AETNA PIN |
| 916655 | Other | TX | UHC PIN |
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 1640343 | Other | TX | FIRSTHEALTH PIN |
| 1750369203 | Other | GRP NPI NUMBER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9410 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
731 Martin Rd
Hurst, TX 76054
Phone (817) 514-0346
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1053409888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99371",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990371",
"telephone_number": "682-885-1855",
"fax_number": "682-885-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 MARTIN RD",
"city": "HURST",
"state": "TX",
"postal_code": "760542703",
"telephone_number": "817-514-0346",
"fax_number": "817-514-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D9410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126950806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PIN",
"identifier": "148395",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "126950807",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "1618346",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCHIP PIN",
"identifier": "DALJC14989",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX IND PIN",
"identifier": "86W430",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4019308",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "916655",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP PIN",
"identifier": "00U87Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH PIN",
"identifier": "1640343",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI NUMBER",
"identifier": "1750369203",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.