Individual provider Active NPI

Tara N. Dennis, DO

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1265568604
Registry record updated May 19, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jan 19, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS 10647 Issued in FL
Practice address
8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795
Phone
(954) 344-8288
Fax
(954) 341-5165
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS 10647 FL Primary

Addresses

Primary practice location

8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795

Mailing address

8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795
Phone (954) 344-8288

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 10647FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology PastSince Jan 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1265568604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD",
            "address_2": "SUITE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-344-8288",
            "fax_number": "954-341-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD",
            "address_2": "SUITE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-344-8288",
            "fax_number": "954-341-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TARA",
        "middle_name": "N.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS 10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.