Individual provider Active NPI

Dora Tascon, LMT

  • Massage Therapist
  • Corpus Christi, TX
National Provider Identifier
1063268290
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT034568 Issued in TX
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

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
MT034568TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Molding Massage by Dora Massage Therapist CurrentSince Nov 10, 2024 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.

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.

Verify at the official NPI Registry.