Active NPI
Dora Tascon, LMT
- Massage Therapist
- Corpus Christi, TX
National Provider Identifier
1063268290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT034568
- Practice address
- 7205 Lake Melody Dr
Corpus Christi, TX 78414-4417 - Phone
- (361) 779-7086
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT034568 | TX | Primary |
Addresses
Primary practice location
7205 Lake Melody Dr
Corpus Christi, TX 78414-4417
Mailing address
7205 Lake Melody Dr
Corpus Christi, TX 78414-4417
Phone (361) 779-7086
Other names 1
- Dora Velazquez
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT034568 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molding Massage by Dora | Massage Therapist | Current | Accepting new patients |
Locations
5540 Saratoga Blvd
Ste 102
Corpus Christi, TX 78413
Phone (361) 342-4098
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.
-
dba Molding Medical Massage
- Massage Therapist
- Corpus Christi, TX
- NPI 1922821321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1063268290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 LAKE MELODY DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144417",
"telephone_number": "361-779-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 LAKE MELODY DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144417",
"telephone_number": "361-779-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASCON",
"first_name": "DORA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT034568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORA",
"last_name": "VELAZQUEZ",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.