Organization Active NPI

Mark Ray Dalton MD PA

  • Orthopaedic Foot and Ankle Surgery Physician
  • Austin, TX
National Provider Identifier
1497720817
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
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

Updated by the provider on Aug 7, 2014

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X TX
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0044PWOtherTXBCBS OF TEXAS GROUP #
162588101MedicaidTX

Other names 1

  • AUSTIN ANKLE ASSOCIATES Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.