Active NPI
Warren Dial, PA
- Medical Physician Assistant
- Goodfellow Afb, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02720
- Practice address
- 271 Fort Richardson Ave
Goodfellow Afb, TX 76908 - Phone
- (325) 654-5989
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02720 | TX | Primary |
Addresses
Primary practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908
Mailing address
1415 Cable Ranch Rd
Ste 106
San Antonio, TX 78245-2116
Phone (210) 979-6718
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Angeles Dr
Suite 103
San Antonio, TX 78201-4302
Phone (210) 664-0962
1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778
14775 Interstate 35 N
Selma, TX 78154-3367
Phone (210) 428-2310
20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455
2951 Thousand Oaks Dr
San Antonio, TX 78247-5202
Phone (210) 494-2324
4130 S New Braunfels Ave
Suite 112
San Antonio, TX 78223-1722
Phone (210) 290-9537
5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677
5755 NW Loop
410 Suite 102
San Antonio, TX 78238-1662
Phone (210) 963-8445
902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889
9234 N Loop 1604
Suite 110
San Antonio, TX 78249-2981
Phone (210) 257-0736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02720 | TX | MD | Medical Physician Assistant |
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1083154207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1851486419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 CABLE RANCH RD",
"address_2": "STE 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452116",
"telephone_number": "210-979-6718",
"fax_number": "210-979-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FORT RICHARDSON AVE",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "WARREN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodfellow Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.