MAYNARD C DYSON MD
NPI 1619988763
Pediatrics - Pediatric Pulmonology in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.

Active since August 11, 2006PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-6299(682) 885-1090 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Maynard C Dyson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYNARD C DYSON MD (NPI 1619988763) is an individual pediatric pulmonology provider in Fort Worth, Texas, licensed in Texas (H9069) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619988763

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameMAYNARD C DYSONCredential: MD

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347

Phone(682) 885-6299

Fax(682) 885-1090

Sole ProprietorNo

Enumeration DateAugust 11, 2006

Last NPPES UpdateApril 3, 2012

✔ NPI 1619988763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in TX · H9069

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

1500 COOPER ST, Fort Worth, TX 76104

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Other Identifiers 19

Other89V243TX · Bcbstx Ind Pin

Other00U87ZTX · Bcbstx Grp Pin

Other136186713TX · Cshcn

Medicare UPINB60924

Other112070100TX · Firstcare Pin

Medicaid136186714TX

Medicaid140442845TX

Other62741133TX · Multiplan Pin

Other413449TX · Phcs Pin

Other109539TX · Superior Pin

Other1640370TX · Firsthealth Pin

Other386710TX · Great West Pin

Other4613484TX · Aetna Pin

Other1392667TX · Uhc Pin

Medicaid136186712TX

Other10028696TX · Amerigroup Pin

Other136186715TX · Cshcn

Other1485631TX · Cigna Pin

Medicare PIN8L20078

Medicare Participation & PECOS Enrollment Status

Maynard Dyson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes