M W Denker MD PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

ME19434 Issued in FL

Legal business name

M W DENKER MD PA

Practice address

12128 Cortez Blvd
Brooksville, FL 34613-5575

Phone

(352) 592-7740

Fax

(352) 592-7742

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Martin W Denker, M.D.

Title

Owner and President

Phone

(352) 650-6978

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Martin W Denker M D P A Former legal business name

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1144560541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 LOCKHART RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346026208",
            "telephone_number": "352-650-6978",
            "fax_number": "352-583-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12128 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-592-7740",
            "fax_number": "352-592-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M W DENKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "DENKER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "352-650-6978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME19434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039766100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "29683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin W Denker M D P A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.