Individual provider Active NPI

Mikal Janelle Dorsett, M.D.

  • Reproductive Endocrinology Physician
  • Lubbock, TX
National Provider Identifier
1740270180
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
F9899 Issued in TX
Practice address
3405 22ND St
Suite 300
Lubbock, TX 79410-1305
Phone
(806) 788-1212
Fax
(806) 788-1253
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X F9899 TX Primary

Addresses

Primary practice location

3405 22ND St
Suite 300
Lubbock, TX 79410-1305

Mailing address

20801 County Road 1940
Lubbock, TX 79423-6617
Phone (806) 863-2093

Other identifiers 1

IdentifierTypeStateIssuer
F9899OtherTXSTATE ID #

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group Past Accepting new patients
Fertility Specialists of Dallas, PA Past Accepting new patients
Covenant Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janelle.dorsett@direct.myteamcare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1740270180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 COUNTY ROAD 1940",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236617",
            "telephone_number": "806-863-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 22ND ST",
            "address_2": "SUITE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101305",
            "telephone_number": "806-788-1212",
            "fax_number": "806-788-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "MIKAL",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "F9899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID #",
            "identifier": "F9899",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.