Active NPI
Dennis Carey Oliver, MD
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1265439541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H9697
- Practice address
- 9969 Fredericksburg Rd
San Antonio, TX 78240-4106 - Phone
- (210) 690-2273
- Fax
- (210) 581-8209
- NPI assigned
- Jul 1, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H9697 | TX | Primary |
Addresses
Primary practice location
9969 Fredericksburg Rd
San Antonio, TX 78240-4106
Mailing address
9969 Fredericksburg Rd
San Antonio, TX 78240-4106
Phone (210) 690-2273
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060212-02 | Medicaid | TX | |
| 2044226 | Other | AETNA | |
| 85274Y | Other | BCBS | |
| 384845 | Other | ONE HEALTH | |
| 9770090003 | Other | CIGNA HMO | |
| 16167-0011 | Other | PACIFICARE | |
| 737806 | Other | HUMANA GOLD | |
| 3391163 | Other | BLUE LINK | |
| 9770090002 | Other | CIGNA POS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dennisoliver@mgmc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323475200000",
"number": "1265439541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9969 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404106",
"telephone_number": "210-690-2273",
"fax_number": "210-581-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9969 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404106",
"telephone_number": "210-690-2273",
"fax_number": "210-581-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "DENNIS",
"middle_name": "CAREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H9697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1060212-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2044226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85274Y",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "384845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "9770090003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "16167-0011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD",
"identifier": "737806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK",
"identifier": "3391163",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA POS",
"identifier": "9770090002",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.