Individual provider Active NPI

Richard Allen Denny Jr., PA C

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1083687735
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08408 Issued in TX
Practice address
3325 Medpark Dr
Denton, TX 76210-6898
Phone
(877) 314-8990
Fax
(833) 794-3342
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08408 TX Primary

Addresses

Primary practice location

3325 Medpark Dr
Denton, TX 76210-6898

Mailing address

3325 Medpark Dr
Denton, TX 76210-6898
Phone (877) 314-8990

Other practice location 1

500 W Main St Ste 200
Lewisville, TX 75057-3639
Phone (877) 314-8990

Other practice location 2

1210 N Kimball Ave, Ste 100
Southlake, TX 76092
Phone (877) 314-8990

Other practice location 3

6750 N MacArthur Blvd Ste 270
Irving, TX 75039-2469
Phone (877) 314-8990

Other practice location 4

701 Secretary Dr
Arlington, TX 76015-1623
Phone (817) 468-8400

Other practice location 5

2817 Reilly Road
MCXC-COD Credentials WAMC
Ft Bragg, NC 28310
Phone (910) 907-8922

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000700 TX Practitioner - Physician Assistant 5991951394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

3325 Medpark Dr
Denton, TX 76210-6898
Phone (977) 314-8990

423 Elm St
Suite 120
Lewisville, TX 75057-3760
Phone (877) 314-8990

4343 N Josey LN
Baylor Med Ctr Carrollton
Carrollton, TX 75010-4603
Phone (972) 492-1010

6750 N Macarthur Blvd
Suite 270 Elite Orthopaedics of Las Colina
Irving, TX 75039-2469
Phone (214) 496-9700

6800 N Macarthur Blvd
Las Colinas Medical Center
Irving, TX 75039-2422
Phone (972) 969-2000

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates of NTX, PLLC Past Accepting new patients
Homeheal PA PastSince Jul 2, 2020 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1083687735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 MEDPARK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106898",
            "telephone_number": "877-314-8990",
            "fax_number": "833-794-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 MEDPARK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106898",
            "telephone_number": "877-314-8990",
            "fax_number": "833-794-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573639",
            "country_code": "US",
            "telephone_number": "877-314-8990",
            "fax_number": "833-794-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 N Kimball Ave, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "877-314-8990",
            "fax_number": "833-794-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 N MacArthur Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392469",
            "country_code": "US",
            "telephone_number": "877-314-8990",
            "fax_number": "833-794-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Secretary Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760151623",
            "country_code": "US",
            "telephone_number": "817-468-8400",
            "fax_number": "817-468-8512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Reilly Road",
            "address_2": "MCXC-COD Credentials WAMC",
            "address_purpose": "LOCATION",
            "city": "Ft Bragg",
            "state": "NC",
            "postal_code": "28310",
            "country_code": "US",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNY",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-09-11",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.