Individual provider Active NPI

Jordan Dooley

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1629503214
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3155 Issued in TX
Practice address
119 W Van Buren Ave Ste 3
Harlingen, TX 78550-6400
Phone
(956) 446-0136
Fax
(956) 265-1284
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3155 TX Primary

Addresses

Primary practice location

119 W Van Buren Ave Ste 3
Harlingen, TX 78550-6400

Mailing address

119 W Van Buren Ave Ste 3
Harlingen, TX 78550-6400
Phone (956) 446-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 1, 2020 through Sep 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Direct Care PLLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

224 E Jackson St
Harlingen, TX 78550
Phone (569) 839-2729

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1629503214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W VAN BUREN AVE STE 3",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506400",
            "telephone_number": "956-446-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W VAN BUREN AVE STE 3",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506400",
            "telephone_number": "956-446-0136",
            "fax_number": "956-265-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.