Individual provider Active NPI

Dennis Samuel Pacl, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Manor, TX
National Provider Identifier
1346253713
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
H6493 Issued in TX
Practice address
16721 Decker Creek Dr
Manor, TX 78653-5012
Phone
(479) 366-4882
Fax
(866) 838-7772
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X E6374 AR
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X H6493 TX Primary

Addresses

Primary practice location

16721 Decker Creek Dr
Manor, TX 78653-5012

Mailing address

16721 Decker Creek Dr
Manor, TX 78653-5012
Phone (479) 366-4882

Other practice location 1

10700 Hard Rock Rd
Austin, TX 78750-2045
Phone (479) 366-4882

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

State licenses

LicenseStateTypeSpecialty
E6374ARMDHospice and Palliative Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346253713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16721 DECKER CREEK DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535012",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16721 DECKER CREEK DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535012",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Hard Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787502045",
            "country_code": "US",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACL",
        "first_name": "DENNIS",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E6374",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "H6493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.