Dagoberto Balderas, DO, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DAGOBERTO BALDERAS, DO, PLLC

Practice address

5424 W Highway 290 Ste 101
Austin, TX 78735-8838

Phone

(512) 643-4400

Fax

(737) 484-0348

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Dagoberto Balderas, DONPI 1699835843

Title

Owner

Phone

(512) 643-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22430/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dagoberto Balderas, D.O.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1699835843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1457974065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358838",
            "telephone_number": "512-643-4400",
            "fax_number": "737-484-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358838",
            "telephone_number": "512-643-4400",
            "fax_number": "737-484-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGOBERTO BALDERAS, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "BALDERAS",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-643-4400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Leigh Daggett, FNP
• Vinoop Daggubati, D.O.
• Anas Daghestani, MD
• Parham Daghighi, LMSW
• Dagmawi Dagne
• Daguer Counseling, PLLC
• Salime Daguer, LCSW
• Ariana Dahesh, DO
• Ankur Dahiya, BDS MDS MSD
• Stephanie Joyce Dahl

• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.