Active NPI
Dusty K Dennis, PT
- Physical Therapist
- Ada, OK
National Provider Identifier
1427293448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2326
- Practice address
- 1414 Arlington St
Ste 2200
Ada, OK 74820-2694 - Phone
- (580) 371-8401
- Fax
- (580) 371-8402
- NPI assigned
- Dec 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2326 | OK | Primary |
Addresses
Primary practice location
1414 Arlington St
Ste 2200
Ada, OK 74820-2694
Mailing address
15269 County Road 3610
Ada, OK 74820-1395
Phone (580) 371-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100834300A | Medicaid | OK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2326 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Ventures Inc | 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 and National Provider Directory roles.
-
- Oxygen Equipment & Supplies (DME)
- Ada, OK
- NPI 1851333561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1427293448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15269 COUNTY ROAD 3610",
"city": "ADA",
"state": "OK",
"postal_code": "748201395",
"telephone_number": "580-371-8401",
"fax_number": "580-371-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 ARLINGTON ST",
"address_2": "STE 2200",
"city": "ADA",
"state": "OK",
"postal_code": "748202694",
"telephone_number": "580-371-8401",
"fax_number": "580-371-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "DUSTY",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-04",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100834300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.