Organization Active NPI

Donald D. Dilworth, M.D., P.a.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1679612030
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DONALD D. DILWORTH, M.D., P.A.
Practice address
8715 Village Dr Ste 608
San Antonio, TX 78217-5407
Phone
(210) 657-2100
Fax
(210) 657-2110
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Donald D. Dilworth, M.D.
Title
Surgeon-President
Phone
(210) 657-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X

Addresses

Primary practice location

8715 Village Dr Ste 608
San Antonio, TX 78217-5407

Mailing address

8715 Village Dr Ste 608
San Antonio, TX 78217-5407
Phone (210) 657-2100

Other identifiers 1

IdentifierTypeStateIssuer
106014703MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1679612030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-657-2100",
            "fax_number": "210-657-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-657-2100",
            "fax_number": "210-657-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D. DILWORTH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SURGEON-PRESIDENT",
        "authorized_official_telephone_number": "210-657-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106014703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.