Donald John Koepsell, D,O,

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

F8922 Issued in TX

Practice address

2698 N Galloway Ave
Suite 102
Mesquite, TX 75150-6383

Phone

(972) 285-9394

Fax

(972) 270-7769

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• North Texas Family Clinic PA

  • Clinic/Center
  • Mesquite, TX
  • NPI 1861676231
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1255334710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506383",
            "telephone_number": "972-285-9394",
            "fax_number": "972-270-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506383",
            "telephone_number": "972-285-9394",
            "fax_number": "972-270-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPSELL",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D,O,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F8922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121853901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Denett Kirven, M.D.
• Naveed A Klair, MD
• Klean King Building Maintenance (MIchelle Watson)
• Michael Knapp
• Allison Koenig, PT, DPT
• Simon George Kolath, D.D.S.
• Kollam Inc (Safe Pharmacy)
• Diana R Koon, NP
• Finda Sebba Koroma, LVN
• Kroger

• Otolaryngology Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.