Individual provider Active NPI

Joseph M Dennis, DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1336248939
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8678 Issued in TX
Practice address
930 W Parker Rd
Ste 505
Plano, TX 75075-2359
Phone
(972) 801-9992
Fax
(469) 241-9412
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8678 TX Primary

Addresses

Primary practice location

930 W Parker Rd
Ste 505
Plano, TX 75075-2359

Mailing address

930 W Parker Rd
Ste 505
Plano, TX 75075-2359
Phone (972) 801-9992

Other identifiers 2

IdentifierTypeStateIssuer
607051OtherTXBCBS
753062995OtherTXTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001513 TX Practitioner - Chiropractic 3971581794 Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 W Parker Rd
Suite 505
Plano, TX 75075-2360
Phone (972) 801-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2978TXMDProfessional Counselor
DC8678TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Family Wellness Center Chiropractor Current Accepting new patients
Dennis Family Wellness Center Chiropractor Past Accepting new patients

Locations

930 W Parker Rd
Ste 505
Plano, TX 75075
Phone (972) 679-0642

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1336248939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W PARKER RD",
            "address_2": "STE 505",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752359",
            "telephone_number": "972-801-9992",
            "fax_number": "469-241-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W PARKER RD",
            "address_2": "STE 505",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752359",
            "telephone_number": "972-801-9992",
            "fax_number": "469-241-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "607051",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "753062995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.