Individual provider Active NPI

Benjamin Dagley, DO

  • Physical Medicine & Rehabilitation Physician
  • Cedar Hill, TX
National Provider Identifier
1902865520
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L9668 Issued in TX
Practice address
716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117
Phone
(972) 291-9165
Fax
(469) 575-9975
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L9668 TX Primary

Addresses

Primary practice location

716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117

Mailing address

PO Box 222093
Dallas, TX 75222-2093
Phone (972) 291-9165

Other identifiers 1

IdentifierTypeStateIssuer
8AE370OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001209 TX Practitioner - Physical Medicine and Rehabilitation 7719933902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Hill Pain and Rehab, PAGroup PAC ID 1052402989, 7 clinicians

Practice addresses (Care Compare)

716 N Hwy 67
Suite 2
Cedar Hill, TX 75104-2117
Phone (972) 291-9165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Hill Pain & Rehab, PA Physical Medicine & Rehabilitation CurrentSince Jun 1, 2007 Accepting new patients
Expressions Pain and Rehab, P.a. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

716 N Highway 67
Ste 2
Cedar Hill, TX 75104
Phone (972) 291-9165

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

Organizations & group practices 2

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1902865520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222093",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752222093",
            "telephone_number": "972-291-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N HIGHWAY 67 STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042117",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLEY",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L9668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AE370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.