Active NPI
Mark Ray Dalton MD PA
- Orthopaedic Foot and Ankle Surgery Physician
- Austin, TX
National Provider Identifier
1497720817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- Legal business name
- MARK RAY DALTON MD PA
- Practice address
- 901 W 38TH St
Ste 301
Austin, TX 78705-1166 - Phone
- (512) 225-6335
- Fax
- (512) 225-6336
- NPI assigned
- Feb 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Ray Dalton, M.D.
- Title
- Owner/President
- Phone
- (512) 225-6335
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TX | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | TX | Primary |
Addresses
Primary practice location
901 W 38TH St
Ste 301
Austin, TX 78705-1166
Mailing address
PO Box 268969
Oklahoma City, OK 73126-8969
Phone (512) 225-6335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044PW | Other | TX | BCBS OF TEXAS GROUP # |
| 162588101 | Medicaid | TX |
Other names 1
- AUSTIN ANKLE ASSOCIATES
National Provider Directory
National Provider DirectoryLocations
901 W 38th St
Ste 301
Austin, TX 78705
Phone (512) 225-6335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407369600000",
"number": "1497720817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268969",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268969",
"telephone_number": "512-225-6335",
"fax_number": "512-225-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W 38TH ST",
"address_2": "STE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051166",
"telephone_number": "512-225-6335",
"fax_number": "512-225-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK RAY DALTON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-20",
"last_updated": "2014-08-07",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "512-225-6335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS GROUP #",
"identifier": "0044PW",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162588101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AUSTIN ANKLE ASSOCIATES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.