Active NPI
Daniel Lee Hurst, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Lubbock, TX
National Provider Identifier
1205828951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- H0067
- Practice address
- 3601 4TH St # Ms 9406
Lubbock, TX 79430-0002 - Phone
- (806) 743-7335
- Fax
- (806) 743-4073
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | H0067 | TX | Primary |
Addresses
Primary practice location
3601 4TH St # Ms 9406
Lubbock, TX 79430-0002
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898
Other practice location 1
3601 4th St
Ms 9406
Lubbock, TX 79430-0002
Phone (806) 743-7337
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115675101 | Medicaid | TX | |
| 115675103 | Other | TX | FIRSTCARE COMMERCIAL |
| 8G6056 | Other | TX | BCBS |
| 118485505 | Medicaid | TX | |
| 37127 | Other | NM | PRESBYTERIAN COMMERCIAL |
| A093 | Other | NM | TRIWEST |
| 100042020A | Medicaid | OK | |
| 118485504 | Medicaid | TX | |
| 80939Z | Other | TX | HMO BLUE |
| V6663 | Medicaid | NM | |
| 37127 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel.hurst@direct.myteamcare.com |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Interoperability endpoints
- daniel.hurst@direct.myteamcare.com
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1205828951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5865",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794085865",
"telephone_number": "806-743-2898",
"fax_number": "806-743-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH ST # MS 9406",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794300002",
"telephone_number": "806-743-7335",
"fax_number": "806-743-4073"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_2": "MS 9406",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-7337",
"fax_number": "806-743-7329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "DANIEL",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "H0067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115675101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE COMMERCIAL",
"identifier": "115675103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G6056",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118485505",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "37127",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A093",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100042020A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118485504",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "80939Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V6663",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37127",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel.hurst@direct.myteamcare.com",
"affiliation": "N",
"address_1": "3601 4th St",
"address_2": "MS 9406",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794300002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.