Active NPI
Kenneth Alan Dakin, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06088
- Practice address
- 12221 Merit Dr Ste 1610
Dallas, TX 75251-2204 - Phone
- (214) 217-1911
- Fax
- (214) 217-1912
- NPI assigned
- Feb 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06088 | TX | Primary |
Addresses
Primary practice location
12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Mailing address
12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Phone (214) 217-1911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284245202 | Medicaid | TX | |
| 285297201 | Medicaid | TX | |
| 285297203 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11350 US Hwy 380
Suite 100a
Crossroads, TX 76227-8319
Phone (844) 464-1611
3210 Midwestern Pkwy
Suite 500a
Wichita Falls, TX 76308-2860
Phone (940) 488-4616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06088 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Questcare Medical Services, PLLC | Physician Assistant | Current | Accepting new patients |
| Olive Branch Recovery LLC | Past | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Melissa, TX
- NPI 1821417072
-
- Primary Care Clinic/Center
- Melissa, TX
- NPI 1063818219
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Nurse Practitioner
- Arlington, TX
- NPI 1497807713
Physician Assistant
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
- Internal Medicine Physician
- Denton, TX
- NPI 1508480765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1740420306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DR STE 1610",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512204",
"telephone_number": "214-217-1911",
"fax_number": "214-217-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MERIT DR STE 1610",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512204",
"telephone_number": "214-217-1911",
"fax_number": "214-217-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKIN",
"first_name": "KENNETH",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284245202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285297201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285297203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.