Active NPI
Harold Dennis Jr., PA-C
- Physician Assistant
- Lexington, KY
National Provider Identifier
1316493869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2133
- Practice address
- 1401 Harrodsburg Rd Ste A300
Lexington, KY 40504-3787 - Phone
- (859) 276-4429
- Fax
- (859) 276-5919
- NPI assigned
- Aug 25, 2016
- Last updated
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2133 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd Ste A300
Lexington, KY 40504-3787
Mailing address
PO Box 936
London, KY 40743-0936
Other practice location 1
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100456560 | Medicaid | KY |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients |
Interoperability endpoints
- harolddennis@kysjhspe.allscriptsdirect.net
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.
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1316493869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"fax_number": "606-330-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE A300",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043787",
"telephone_number": "859-276-4429",
"fax_number": "859-276-5919"
}
],
"practiceLocations": [
{
"address_1": "3480 Yorkshire Medical Park",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091886",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "HAROLD",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100456560",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.