Individual provider Active NPI

Dalton James Peaslee, M.D.

  • Internal Medicine Physician
  • Fargo, ND
National Provider Identifier
1093324014
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RL-16715 Issued in ND
Practice address
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone
(406) 465-0990
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V4961 TX
Diagnostic Radiology Physician 2085R0202X V4941 TX
Internal Medicine Physician 207R00000X RL-16715 ND Primary

Addresses

Primary practice location

5225 23Rd Ave S
Fargo, ND 58104-7927

Mailing address

421 Wyndham Hill Pkwy
Temple, TX 76502-1975
Phone (406) 465-0990

Other practice location 1

421 Wyndham Hill Pkwy
Temple, TX 76502-1975
Phone (877) 681-2977

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dalton.peaslee@sanfordhealth.irg Direct Sanford Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251022001942 TX Practitioner - Diagnostic Radiology 6608317771 Reassigns benefits to 2 organizations
I20260330000252 GA Practitioner - Diagnostic Radiology 6608317771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Consultants PCGroup PAC ID 2769485655, 28 clinicians

Practice addresses (Care Compare)

Temple, TX 76502
Phone (317) 805-4093

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL-16715NDMDInternal Medicine Physician
V4941TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde County Hospital Authority CurrentSince Sep 1, 2025 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Uvalde County Hospital Authority CurrentSince Sep 1, 2025 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1093324014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WYNDHAM HILL PKWY",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021975",
            "telephone_number": "406-465-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 23RD AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047927",
            "telephone_number": "406-465-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Wyndham Hill Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765021975",
            "country_code": "US",
            "telephone_number": "877-681-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEASLEE",
        "first_name": "DALTON",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4961",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V4941",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "RL-16715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dalton.peaslee@sanfordhealth.irg",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Sanford Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5225 23rd Ave S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581047927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.