Active NPI
Christopher Michael Dennis, OD
- Optometrist
- Murfreesboro, TN
National Provider Identifier
1063430205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2646
- Practice address
- 2000 Old Fort Pkwy
Murfreesboro, TN 37129-6907 - Phone
- (615) 848-3008
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2646 | TN | Primary |
Addresses
Primary practice location
2000 Old Fort Pkwy
Murfreesboro, TN 37129-6907
Mailing address
1905 Jonahs Ridge Dr
Nolensville, TN 37135-9609
Phone (615) 715-6822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060922000293 | TN | Practitioner - Optometry | 8325043474 | Practice locations: Murfreesboro, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Old Fort Pkwy
Murfreesboro, TN 37129-6907
Phone (615) 848-3008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2646 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1063430205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 JONAHS RIDGE DR",
"city": "NOLENSVILLE",
"state": "TN",
"postal_code": "371359609",
"telephone_number": "615-715-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OLD FORT PKWY",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371296907",
"telephone_number": "615-848-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.