Cory Daniel Dennis, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00020799 Issued in WA

Practice address

769 Violet Meadow St S
Tacoma, WA 98444-3258

Phone

(206) 819-9100

NPI assigned

Nov 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brent a Linse PS

  • Chiropractor
  • Tacoma, WA
  • NPI 1265101323

  Massage Therapist

  NPD (past)
• Canyon Chiropractic

  • Chiropractor
  • Tacoma, WA
  • NPI 1386216745
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1093422602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 VIOLET MEADOW ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443258",
            "telephone_number": "206-819-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 VIOLET MEADOW ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443258",
            "telephone_number": "206-819-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5612 72nd St E",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98443",
            "country_code": "US",
            "telephone_number": "253-537-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CORY",
        "middle_name": "DANIEL",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00020799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Andrew Denen
• Shin Deng, DE61266510
• Sara Michelle Denis
• Steven Denler, MA, LMHC
• Julia Denney
• Jamila Nandi Dennis
• Wendy Naomi Dennis
• Kyle Donald Dennison, PSYD
• Travis Dylan Dennison, PSYD
• Robert Denslow, DMD

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.