Individual provider Active NPI

Dalton Tidwell, MD

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1174261192
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V6106 Issued in TX
Practice address
1906 W US Highway 82
Sherman, TX 75092-6893
Phone
(903) 892-8398
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 V6106 TX Primary

Addresses

Primary practice location

1906 W US Highway 82
Sherman, TX 75092-6893

Mailing address

1906 W US Highway 82
Sherman, TX 75092-6893
Phone (903) 892-8398

Other practice location 1

1906 W US Highway 82
Sherman, TX 75092-6893
Phone (903) 892-8398

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
I20250910002179 TX Practitioner - Family Practice 2567826720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Medicine PAGroup PAC ID 2264418557, 13 clinicians

Practice addresses (Care Compare)

1906 Hwy 82 W
Sherman, TX 75092-6893

1906 W US Hwy 82
Sherman, TX 75092-6893
Phone (903) 892-8398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6106TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Medicine,PA Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Sherman Apothecary, LP PastSince Aug 10, 2025 Accepting new patients

Locations

1906 W US Highway 82
Sherman, TX 75092
Phone (903) 892-8398

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1174261192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 W US Highway 82",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750926893",
            "country_code": "US",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "DALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.