Active NPI
Daniel D. Witheiler, M.D. P.a.
- MOHS-Micrographic Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- DANIEL D. WITHEILER, M.D. P.A.
- Practice address
- 1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1259 - Phone
- (214) 941-7546
- Fax
- (214) 941-2442
- NPI assigned
- Jan 26, 2009
- Last updated
- Feb 19, 2009
- 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. Daniel D Witheiler, M.D.
- Title
- Owner
- Phone
- (214) 941-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | NU | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1259
Mailing address
1411 N Beckley Ave
Pavilion III, Suite 470
Dallas, TX 75203-1259
Phone (214) 941-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1411 N Beckley Ave
Ste 470
Dallas, TX 75203
Phone (214) 941-7546
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- MOHS-Micrographic Surgery Physician
- Dallas, TX
- NPI 1023083482
-
- Physician Assistant
- Dallas, TX
- NPI 1710283783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1578701868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 470",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-941-7546",
"fax_number": "214-941-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 470",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-941-7546",
"fax_number": "214-941-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL D. WITHEILER, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-26",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "WITHEILER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-941-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.