Active NPI
Dennis D. Dewey, M.D., P.a.
- Neurology Physician
- Orange Park, FL
National Provider Identifier
1073840435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME47968
- Legal business name
- DENNIS D. DEWEY, M.D., P.A.
- Practice address
- 1895 Kingsley Ave Ste 805
Orange Park, FL 32073-4410 - Phone
- (904) 276-2220
- Fax
- (904) 276-2578
- NPI assigned
- Nov 5, 2009
- Last updated
- Jan 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis D Dewey, MD
- Title
- President
- Phone
- (904) 276-2220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME47968 | FL | Primary |
Addresses
Primary practice location
1895 Kingsley Ave Ste 805
Orange Park, FL 32073-4410
Mailing address
PO Box 17809
Jacksonville, FL 32245-7809
Phone (904) 723-5665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14167 | Other | FL | BCBS |
| DP9414 | Other | FL | R.R. MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1895 Kingsley Ave
Ste 805
Orange Park, FL 32073
Phone (904) 276-2220
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Orange Park, FL
- NPI 1891786059
-
- Neurology Physician
- Jacksonville, FL
- NPI 1730176348
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1609968163
-
- Neurology Physician
- Lake Toxaway, NC
- NPI 1386699593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1073840435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17809",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322457809",
"telephone_number": "904-723-5665",
"fax_number": "904-338-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 KINGSLEY AVE STE 805",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734410",
"telephone_number": "904-276-2220",
"fax_number": "904-276-2578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS D. DEWEY, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-05",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "DEWEY",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-276-2220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME47968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14167",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "DP9414",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.