NPIMap

Organization Active NPI

Doorstep Procare Management LLC

  • General Practice Physician
  • Mesquite, TX
National Provider Identifier
1275996860
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOORSTEP PROCARE MANAGEMENT LLC
Practice address
2944 Motley Dr Ste 401
Mesquite, TX 75150-3464
Phone
(972) 289-2273
Fax
(972) 439-1776
NPI assigned
Mar 31, 2016
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mr. Jessie Garzon Mendiola
Title
Managing Member
Phone
(469) 438-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2944 Motley Dr Ste 401
Mesquite, TX 75150-3464

Mailing address

12035 Shiloh Rd Ste 310
Dallas, TX 75228-1507
Phone (972) 289-2273

Other identifiers 1

IdentifierTypeStateIssuer
3633174MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420000311 TX Part B Supplier - Clinic/Group Practice 8527366889 Receives reassigned benefits from 15 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

12035 Shiloh Rd
Ste 310
Dallas, TX 75228
Phone 9722892273107

2944 Motley Dr
Ste 401
Mesquite, TX 75150
Phone (972) 289-2273

608 W Davis St
Ste 101
Mesquite, TX 75149
Phone (972) 285-1388

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1275996860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 SHILOH RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281507",
            "telephone_number": "972-289-2273",
            "fax_number": "972-285-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR STE 401",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503464",
            "telephone_number": "972-289-2273",
            "fax_number": "972-439-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOORSTEP PROCARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "GARZON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-438-4493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.