Active NPI
Carl F Dennison
- Adolescent Medicine (Family Medicine) Physician
- Ft Lauderdale, FL
National Provider Identifier
1114032109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- ME62956
- Practice address
- 3035 E Commercial Blvd
Ft Lauderdale, FL 33308-4347 - Phone
- (954) 776-4981
- Fax
- (954) 776-0146
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | ME62956 | FL | Primary |
Addresses
Primary practice location
3035 E Commercial Blvd
Ft Lauderdale, FL 33308-4347
Mailing address
3035 E Commercial Blvd
Ft Lauderdale, FL 33308-4347
Phone (954) 776-4981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3752810000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62956 | FL | MD | Adolescent Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Past | Accepting new patients | |
| Holy Cross Hospital, Inc | Past | Accepting new patients | |
| Holy Cross Hospital Inc | Adolescent Medicine | Past | Accepting new patients |
| Holy Cross Hospital, Inc | Past | 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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Adolescent Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Ft Lauderdale, FL
- NPI 1518126499
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1487405718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114032109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084347",
"telephone_number": "954-776-4981",
"fax_number": "954-776-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084347",
"telephone_number": "954-776-4981",
"fax_number": "954-776-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "CARL",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "FL",
"license": "ME62956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3752810000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.