Individual provider Active NPI

Jonathan Dancel

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1124401088
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10053713 Issued in TX
Practice address
7218 S Padre Island Dr
Apt 38C
Corpus Christi, TX 78412-4332
Phone
(909) 557-7844
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10053713 TX Primary

Addresses

Primary practice location

7218 S Padre Island Dr
Apt 38C
Corpus Christi, TX 78412-4332

Mailing address

3138 Meadow Ridge Dr
Apt 38C
Corpus Christi, TX 78418-3935

Other identifiers 1

IdentifierTypeStateIssuer
BP10053713OtherTXPHYSICIAN IN TRAINING - TEXAS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825000567 TX Practitioner - General PracticePractitioner - Family Practice 9032402805 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Texas Emergency Group LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1702 US Highway 181
Portland, TX 78374
Phone (361) 761-2273

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1124401088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 MEADOW RIDGE DR",
            "address_2": "APT 38C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784183935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 S PADRE ISLAND DR",
            "address_2": "APT 38C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124332",
            "telephone_number": "909-557-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCEL",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10053713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING - TEXAS",
            "identifier": "BP10053713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.