Bethany Dallenbach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2420 Wycon Dr Ste 403
Waco, TX 76712-8988

Phone

(254) 420-0002

NPI assigned

Mar 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Pittsburgh School of Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lacy Coker Kessler, MD, PA

  • Obstetrics & Gynecology Physician
  • Waco, TX
  • NPI 1003177726
  Medicare reassignment NPD

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1740137983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 WYCON DR STE 403",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WYCON DR STE 403",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128988",
            "telephone_number": "254-420-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLENBACH",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gala Kaye Czajkoski, COTA
• Amanda Brophy Czimskey, CCC, SLP
• Pramila K. Daftary, M.D.
• Laura L Dailey, RD
• Peter Shane Dailey, MD
• Thomas Andrew Damato, M.D.
• Dan Alineum Dental-Waco PLLC
• Michael Minh Dang, DDS
• Daniel & Max, LLC
• Kimberlee Daniel, RBT

• Physician Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.