Active NPI
Marietta F Dancel, M.D.
- Family Medicine Physician
- Baytown, TX
National Provider Identifier
1679504849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F8108
- Practice address
- 1602 Garth Rd
250
Baytown, TX 77520-2410 - Phone
- (281) 837-2700
- Fax
- (281) 837-2760
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F8108 | TX | Primary |
Addresses
Primary practice location
1602 Garth Rd
250
Baytown, TX 77520-2410
Mailing address
PO Box 301173
Dallas, TX 75303-1173
Phone (281) 837-2700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134240401 | Other | TX | CSHCN |
| 080152127 | Other | TX | RAILROAD MEDICARE |
| 88Y307 | Other | TX | BCBS |
| 134240406 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000065 | TX | Order and Referring Only - Family Practice | 0345323879 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1679504849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301173",
"city": "DALLAS",
"state": "TX",
"postal_code": "753031173",
"telephone_number": "281-837-2700",
"fax_number": "281-837-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 GARTH RD",
"address_2": "250",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202410",
"telephone_number": "281-837-2700",
"fax_number": "281-837-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCEL",
"first_name": "MARIETTA",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F8108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "134240401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080152127",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88Y307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134240406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.