Active NPI
David Odle, M D
- Anesthesiology Physician
- Galveston, TX
National Provider Identifier
1093252876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D5334
- Practice address
- 801 E Beach Dr Unit Bc1004
Galveston, TX 77550-3450 - Phone
- (281) 658-2607
- NPI assigned
- Jan 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D5334 | TX | Primary |
Addresses
Primary practice location
801 E Beach Dr Unit Bc1004
Galveston, TX 77550-3450
Mailing address
801 E Beach Dr Unit Bc1004
Galveston, TX 77550-3450
Phone (281) 658-2607
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5334 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1093252876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E BEACH DR UNIT BC1004",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775503450",
"telephone_number": "281-658-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E BEACH DR UNIT BC1004",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775503450",
"telephone_number": "281-658-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODLE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "D5334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.