Individual provider Active NPI

Dennis D McCoy

  • Phlebotomy Technician
  • Moses Lake, WA
National Provider Identifier
1215619812
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
605271491 Issued in WA
Practice address
3008 Valley Rd NE
Moses Lake, WA 98837-7624
Phone
(509) 793-3069
Fax
(509) 793-3069
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 605271491 WA Primary

Addresses

Primary practice location

3008 Valley Rd NE
Moses Lake, WA 98837-7624

Mailing address

3008 Valley Rd NE
Moses Lake, WA 98837-7624
Phone (509) 793-3069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3008 Valley Rd NE
Moses Lake, WA 98837-7624

3838 N Sam Houston Pkwy E
Suite 290
Houston, TX 77032-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
605271491WAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Best of Care Mobile Phlebotomy Phlebotomy CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1215619812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 VALLEY RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988377624",
            "telephone_number": "509-793-3069",
            "fax_number": "509-793-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 VALLEY RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988377624",
            "telephone_number": "509-793-3069",
            "fax_number": "509-793-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DENNIS",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WA",
            "license": "605271491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.