Organization Active NPI

Mark a. Dodson PLLC

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1669794731
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK A. DODSON PLLC
Practice address
1521 S Staples St Ste 605a
Corpus Christi, TX 78404-3166
Phone
(361) 853-5678
Fax
(361) 853-5680
NPI assigned
Feb 17, 2010
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Mark A. Dodson, MDNPI 1730297821
Title
Owner/Physician
Phone
(316) 853-5678

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1521 S Staples St Ste 605a
Corpus Christi, TX 78404-3166

Mailing address

1521 S Staples St Ste 605a
Corpus Christi, TX 78404-3166
Phone (361) 853-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100511000258 TX Part B Supplier - Clinic/Group Practice 5092843151 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

1521 S Staples St
Ste 605A
Corpus Christi, TX 78404
Phone (361) 853-5678

3462 S Alameda St
Corpus Christi, TX 78411
Phone (361) 853-5678

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1669794731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 605A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043166",
            "telephone_number": "361-853-5678",
            "fax_number": "361-853-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 605A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043166",
            "telephone_number": "361-853-5678",
            "fax_number": "361-853-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. DODSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "316-853-5678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.