Individual provider Active NPI

Paul Joseph Dennis

  • Anesthesiology Physician
  • Tillamook, OR
National Provider Identifier
1427079680
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G36296 Issued in CA
Practice address
1000 3Rd St
Tillamook, OR 97141-3430
Phone
(503) 815-1555
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD24195 OR
Anesthesiology Physician 207L00000X G36296 CA Primary

Addresses

Primary practice location

1000 3Rd St
Tillamook, OR 97141-3430

Mailing address

1000 3Rd St
Tillamook, OR 97141-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120409000525 OR Practitioner - Anesthesiology 8628016367 Reassigns benefits to 6 organizations
I20131216000535 CA Practitioner - Anesthesiology 8628016367 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36296CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Northwest Anesthesia Physicians PC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Pacific Surgery Center LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Jul 5, 2016 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Bay Area Hospital District Anesthesiology CurrentSince Jul 5, 2016 Accepting new patients
Chase Gardens Surgery Center LLC CurrentSince Apr 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Dept LA 25339
Pasadena, CA 91185

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

360 S Garden Way
Ste 100
Eugene, OR 97401
Phone (541) 334-0488

1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Interoperability endpoints

  • Direct secure messaging: pjdennis@yourcarecommunity.org

Organizations & group practices 11

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1427079680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430",
            "telephone_number": "503-815-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD24195",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G36296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.