NPIMap

Individual provider Active NPI

Dennis S Wales, MD

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1376650408
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0040200 Issued in CO
Practice address
810 E 3Rd St Unit 201
Durango, CO 81301-5759
Phone
(970) 764-1790
Fax
(970) 375-7927
NPI assigned
Aug 24, 2006
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4793 TX
Family Medicine Physician 207Q00000X DR.0040200 CO Primary

Addresses

Primary practice location

810 E 3Rd St Unit 201
Durango, CO 81301-5759

Mailing address

3701 Kirby Dr
Suite 600
Houston, TX 77098-3900
Phone (713) 798-2091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807001949 CO Practitioner - Family Practice 1153326277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

810 E 3Rd St
201 PRMN PC Mercy North
Durango, CO 81301-5759
Phone (970) 764-1790

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healthcare Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Total Healthcare Current Accepting new patients
Total Healthcare Family Medicine Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Total Healthcare Family Medicine Past Accepting new patients

Locations

480 Wolverine Dr
Ste 3
Bayfield, CO 81122
Phone (970) 764-9150

1 Mercado St
Ste 160
Durango, CO 81301
Phone (970) 385-9850

810 E 3rd St
Unit 201
Durango, CO 81301
Phone (970) 764-1790

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1376650408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983900",
            "telephone_number": "713-798-2091",
            "fax_number": "713-798-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 3RD ST UNIT 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015759",
            "telephone_number": "970-764-1790",
            "fax_number": "970-375-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES",
        "first_name": "DENNIS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4793",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0040200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.