Active NPI
Coleman Dennis
- Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1285363523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39707
- Practice address
- 800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018 - Phone
- (405) 271-6308
- NPI assigned
- Jun 9, 2022
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39707 | OK | Primary |
Addresses
Primary practice location
800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018
Mailing address
9017 N University Ave Apt 5101
Oklahoma City, OK 73114-4343
Phone (901) 417-3257
Other practice location 1
2411 Holmes St
Kansas City, MO 64108-2741
Phone (816) 235-1808
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: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- cdennis630487@direct.saint-lukes.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1285363523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9017 N UNIVERSITY AVE APT 5101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731144343",
"telephone_number": "901-417-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045018",
"telephone_number": "405-271-6308"
}
],
"practiceLocations": [
{
"address_1": "2411 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082741",
"country_code": "US",
"telephone_number": "816-235-1808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "COLEMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "39707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Dennis & Dennis Healthcare (Midtown Concierge Admissions)
- Dennis E Sandler MD PLLC
- Dennis E. Foster MD Orthopedic Surgery Inc
- Dennis J. Moran, PH.D. PC (Clinical Psychologay)
- Dennis M Parker MD Inc
- Cory Dennis
- Derek Dennis, PHARMD
- Jocelyn Leibovich Dennis, APRN
- John Michael Dennis, PH.D.
- Judy D Dennis, M.S., C.C.C./SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.