Individual provider Active NPI

Dante M. Pepito, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1972560019
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J1348 Issued in TX
Practice address
1290 FM 43 Ste J
Corpus Christi, TX 78415-9773
Phone
(361) 826-0650
Fax
(361) 826-0651
NPI assigned
May 1, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J1348 TX Primary
General Practice Physician 208D00000X J1348 TX

Addresses

Primary practice location

1290 FM 43 Ste J
Corpus Christi, TX 78415-9773

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 826-0650

Other identifiers 2

IdentifierTypeStateIssuer
97071705MedicaidTX
2I1388OtherTXMEDICARE

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
I20040525000580 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 7719968999 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1348TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Quickcare Me Management LLC CurrentSince Sep 1, 2022 Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine Past Accepting new patients
Medical Imaging Diagnostic Associates Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

6181 Saratoga Blvd
Unit 117
Corpus Christi, TX 78414
Phone (361) 444-5148

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1972560019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-826-0650",
            "fax_number": "361-371-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FM 43 STE J",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784159773",
            "telephone_number": "361-826-0650",
            "fax_number": "361-826-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPITO",
        "first_name": "DANTE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J1348",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J1348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97071705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2I1388",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.