Active NPI
Walter Albert Dobson, DO
- Surgery Physician
- Grand Prairie, TX
National Provider Identifier
1720168958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34002298
- Practice address
- 647 S Great Southwest Parkway
Suite 105
Grand Prairie, TX 75051 - Phone
- (972) 660-3188
- Fax
- (972) 602-0613
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS3512 | FL | |
| Surgery Physician | 208600000X | 34002298 | OH | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | F2636 | TX |
Addresses
Primary practice location
647 S Great Southwest Parkway
Suite 105
Grand Prairie, TX 75051
Mailing address
647 S Great Southwest Parkway
Suite 105
Grand Prairie, TX 75051
Phone (972) 660-3188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000FE048 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS3512 | FL | MD | Surgery Physician |
| 34002298 | OH | MD | Surgery Physician |
| F2636 | TX | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720168958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 S GREAT SOUTHWEST PARKWAY",
"address_2": "SUITE 105",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75051",
"telephone_number": "972-660-3188",
"fax_number": "972-602-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 S GREAT SOUTHWEST PARKWAY",
"address_2": "SUITE 105",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75051",
"telephone_number": "972-660-3188",
"fax_number": "972-602-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "WALTER",
"middle_name": "ALBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS3512",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34002298",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "F2636",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000FE048",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.