NPIMap

Organization Active NPI

Mark Dirnberger DO PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Arlington, TX
National Provider Identifier
1801078753
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
L5305 Issued in TX
Legal business name
MARK DIRNBERGER DO PA
Practice address
2001 SE Green Oaks Blvd.
Suite # 130
Arlington, TX 76018-0952
Phone
(817) 419-6111
Fax
(817) 572-7982
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mark A Dirnberger, MDNPI 1841366465
Title
Owner
Phone
(817) 419-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204D00000X L5305 TX Primary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X L5305 TX

Addresses

Primary practice location

2001 SE Green Oaks Blvd.
Suite # 130
Arlington, TX 76018-0952

Mailing address

74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111

National Provider Directory

National Provider Directory

Locations

74 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-6111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11201/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1801078753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637816",
            "telephone_number": "817-419-6111",
            "fax_number": "817-572-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SE GREEN OAKS BLVD.",
            "address_2": "SUITE # 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760180952",
            "telephone_number": "817-419-6111",
            "fax_number": "817-572-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DIRNBERGER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-04-28",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "DIRNBERGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-419-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "L5305",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "L5305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.