Individual provider Active NPI

David Arnold Dennis, D.M.D.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1396813358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2990 Issued in AL
Practice address
10300 Bailey Cove Rd SE
Suite 4
Huntsville, AL 35803-2635
Phone
(256) 650-0724
Fax
(256) 650-0872
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2990 AL Primary

Addresses

Primary practice location

10300 Bailey Cove Rd SE
Suite 4
Huntsville, AL 35803-2635

Mailing address

10300 Bailey Cove Rd SE
Suite 4
Huntsville, AL 35803-2635
Phone (256) 650-0724

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

State licenses

LicenseStateTypeSpecialty
2990ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CGF DDS PC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396813358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 BAILEY COVE RD SE",
            "address_2": "SUITE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032635",
            "telephone_number": "256-650-0724",
            "fax_number": "256-650-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BAILEY COVE RD SE",
            "address_2": "SUITE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032635",
            "telephone_number": "256-650-0724",
            "fax_number": "256-650-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "DAVID",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.