Individual provider Active NPI

Marie Irene Dotson

  • Driver
  • Honey Grove, TX
National Provider Identifier
1194071092
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
22543297 Issued in TX
Practice address
1106 15TH St
#24
Honey Grove, TX 75446-2070
Phone
(903) 486-5997
Fax
(903) 337-8308
NPI assigned
Jul 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 22543297 TX Primary
Non-emergency Medical Transport (VAN) 343900000X 22543297 TX

Addresses

Primary practice location

1106 15TH St
#24
Honey Grove, TX 75446-2070

Mailing address

PO Box 103
Honey Grove, TX 75446-0103
Phone (903) 378-3082

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

State licenses

LicenseStateTypeSpecialty
22543297TXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1194071092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "HONEY GROVE",
            "state": "TX",
            "postal_code": "754460103",
            "telephone_number": "903-378-3082",
            "fax_number": "903-378-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 15TH ST",
            "address_2": "#24",
            "city": "HONEY GROVE",
            "state": "TX",
            "postal_code": "754462070",
            "telephone_number": "903-486-5997",
            "fax_number": "903-337-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "MARIE",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "22543297",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "22543297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honey Grove, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.