Active NPI
Stephen G Dalton, DO
- Family Medicine Physician
- Lubbock, TX
National Provider Identifier
1396748554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H7986
- Practice address
- 7501 Quaker Ave
Lubbock, TX 79424-3367 - Phone
- (806) 792-8843
- Fax
- (806) 799-0691
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H7986 | TX | Primary |
Addresses
Primary practice location
7501 Quaker Ave
Lubbock, TX 79424-3367
Mailing address
5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407-3545
Phone (806) 785-2045
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients |
Locations
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1396748554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY",
"address_2": "STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073545",
"telephone_number": "806-785-2045",
"fax_number": "806-722-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 QUAKER AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243367",
"telephone_number": "806-792-8843",
"fax_number": "806-799-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "STEPHEN",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H7986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.