Individual provider Active NPI

Dana Breann Tolleson

  • Physician Assistant
  • Addison, TX
National Provider Identifier
1790420834
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5040 Addison Cir Ste 400
Addison, TX 75001-6049
Phone
(214) 983-0303
Fax
(214) 983-0301
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5040 Addison Cir Ste 400
Addison, TX 75001-6049

Mailing address

5040 Addison Cir Ste 400
Addison, TX 75001-6049
Phone (214) 983-0303

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207000586 TX Practitioner - Physician Assistant 0648641266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

8501 Wade Blvd
Suite 630
Frisco, TX 75034-6877
Phone (469) 535-6647

9500 Dallas Pkwy
Suite 100
Frisco, TX 75033-4120
Phone (469) 535-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4824OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Oct 25, 2022 Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

3412 E Hebron Pkwy
Ste 106
Carrollton, TX 75010
Phone (469) 277-8253

3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

8501 Wade Blvd
Ste 630
Frisco, TX 75034
Phone (469) 717-0329

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

1900 Matlock Rd
Bldg 1
Mansfield, TX 76063
Phone (682) 628-0277

4600 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 608-3855

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 1

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1790420834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 ADDISON CIR STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016049",
            "telephone_number": "214-983-0303",
            "fax_number": "214-983-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 ADDISON CIR STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016049",
            "telephone_number": "214-983-0303",
            "fax_number": "214-983-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESON",
        "first_name": "DANA",
        "middle_name": "BREANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.