Individual provider Active NPI

John Swope, PA-C

  • Physician Assistant
  • Odessa, TX
National Provider Identifier
1396253589
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11613 Issued in TX
Practice address
1 Parks Legado CT
Odessa, TX 79765-2542
Phone
(432) 332-2663
Fax
(432) 335-8849
NPI assigned
Jan 22, 2018
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11613 TX Primary

Addresses

Primary practice location

1 Parks Legado CT
Odessa, TX 79765-2542

Mailing address

701 Ash Ave Apt 3
Dalhart, TX 79022-3356
Phone (806) 789-8427

Other practice location 1

206 E 16th St
Dalhart, TX 79022-4802
Phone (806) 244-5668

Other practice location 2

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 244-4571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226000138 TX Practitioner - Physician Assistant 6002177599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basin Orthopedic Surgical Specialists, P.a.Group PAC ID 3870403363, 4 clinicians

Practice addresses (Care Compare)

1 Parks Legado CT
Odessa, TX 79765-2542
Phone (432) 332-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11613TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jswope@boss.directglo.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1396253589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ASH AVE APT 3",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790223356",
            "telephone_number": "806-789-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKS LEGADO CT",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652542",
            "telephone_number": "432-332-2663",
            "fax_number": "432-335-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Dalhart",
            "state": "TX",
            "postal_code": "790224802",
            "country_code": "US",
            "telephone_number": "806-244-5668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Denver Ave",
            "address_purpose": "LOCATION",
            "city": "Dalhart",
            "state": "TX",
            "postal_code": "790224809",
            "country_code": "US",
            "telephone_number": "806-244-4571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.