Individual provider Active NPI

Dionna M Dalzell, ARNP

  • Neurological Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1114984663
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
AP117498 Issued in TX
Practice address
9525 N Beach St Ste 405
Fort Worth, TX 76244
Phone
(817) 502-7411
NPI assigned
Apr 27, 2006
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117498 TX
Family Nurse Practitioner 363LF0000X 76248 TX
Family Nurse Practitioner 363LF0000X 110705 NE
Neurological Surgery Physician 207T00000X AP117498 TX Primary

Addresses

Primary practice location

9525 N Beach St Ste 405
Fort Worth, TX 76244

Mailing address

9525 N Beach St Ste 405
Fort Worth, TX 76244-6438
Phone (817) 502-7411

Other practice location 1

6606 Lbj Fwy
Suite 200
Dallas, TX 75240-6533
Phone (972) 715-5000

Other identifiers 4

IdentifierTypeStateIssuer
203611302MedicaidTX
281353702OtherTXMEDICAID GROUP EP1
281353701OtherTXMEDICAID GROUP TPI
8Y9337OtherTXBCBS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000612 TX Practitioner - Nurse Practitioner 5890703573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropathy Pain Clinic of Fort Worth LLCGroup PAC ID 4688866015, 16 clinicians

Practice addresses (Care Compare)

4544 Spring Stuebner Rd
Suite 100
Spring, TX 77389-1117
Phone (832) 924-6093

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76248TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropathy Pain Clinic of Fort Worth LLC CurrentSince Nov 27, 2023 Accepting new patients
Intuitive Practice Solutions, LLC PastSince Jul 1, 2015 Accepting new patients

Locations

919 W Randol Mill Rd
Arlington, TX 76012
Phone (682) 323-5904

360 SE John Jones Dr
Ste 108
Burleson, TX 76028
Phone (817) 774-4973

3951 Brown Trl
Colleyville, TX 76034
Phone (817) 282-2821

2435 W Oak St
Ste 101
Denton, TX 76201
Phone (940) 299-4263

2435 W Oak St
Ste 102
Denton, TX 76201
Phone (817) 924-1000

9525 N Beach St
Fort Worth, TX 76244

9525 N Beach St
Ste 405
Fort Worth, TX 76244
Phone (940) 626-8073

9525 N Beach St
Ste 421
Fort Worth, TX 76244
Phone (682) 323-5904

11700 Teel Pkwy
Ste 100
Frisco, TX 75033
Phone (972) 931-3131

6500 Sierra Dr
#170
Irving, TX 75039
Phone (972) 331-1590

4925 Highway 6
Missouri City, TX 77459

230 E Evergreen St
Sherman, TX 75090
Phone (903) 957-0275

4544 Spring Stuebner Rd
Ste 100
Spring, TX 77389

3143 Golden Rd
#100
Tyler, TX 75701
Phone (903) 751-3187

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1114984663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 405",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446438",
            "telephone_number": "817-502-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 405",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-502-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406533",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "DIONNA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "76248",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110705",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "AP117498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203611302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP EP1",
            "identifier": "281353702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "281353701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y9337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.