Ott Medical Group PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OTT MEDICAL GROUP PLLC

Practice address

3900 Bowser Ave
Dallas, TX 75219

Phone

(623) 210-6504

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Nathaniel Ott, MDNPI 1679983480

Title

Manager

Phone

(623) 210-6504

Specialties & licenses 1

Addresses

Electronic endpoints 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Ott, M.D.

  • General Practice Physician
  • Dallas, TX
  • NPI 1679983480
  NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1235855784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 CEDAR SPRINGS RD STE 421",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BOWSER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "623-210-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTT MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-210-6504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abc",
            "affiliation": "N",
            "address_1": "3900 Bowser Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ottmedicalgroup.com",
            "affiliation": "N",
            "address_1": "3900 Bowser Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ottmedicalgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "3900 Bowser Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dinah Awuor Otieno
• Mark Raymond Otis, PHD
• Otoniel Huertas M.D.
• Cynthia Otoo, FNP-BC
• Otow V Surgery
• Gabrielle Sciortino Ott, PT
• Krista Ott
• Nathaniel Ott, M.D.
• Rachel Glendine Ottaway, DPT
• Alexander Steinar Ottesen, MD

• Primary Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.