Individual provider Active NPI

Dennis Chrismon, PA

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1417006131
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100499 Issued in NC
Practice address
1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Phone
(336) 584-3100
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 100499 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148

Mailing address

1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Phone (336) 584-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchrismon280705@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000209 NC Practitioner - Physician Assistant 0941104376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical Center, PA Current Accepting new patients
BFP Medical Group PA Past Accepting new patients
Alamance Family Practice, PA Past Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

Organizations & group practices 3

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1417006131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMON",
        "first_name": "DENNIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchrismon280705@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kirkpatrick Rd",
            "address_2": "suite 200",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.