Active NPI
Michael David Dennis, M.D.
- Orthopaedic Surgery of the Spine Physician
- San Antonio, TX
National Provider Identifier
1447259809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- E4294
- Practice address
- 9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598 - Phone
- (210) 614-6432
- Fax
- (210) 615-3577
- NPI assigned
- Jul 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E4294 | TX | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | E4294 | TX | Primary |
Addresses
Primary practice location
9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Mailing address
9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone (210) 614-6432
Other names 1
- Dr. M. David Dennis
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4294 | TX | MD | Orthopaedic Surgery of the Spine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1447259809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD STE 290",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401598",
"telephone_number": "210-614-6432",
"fax_number": "210-615-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD STE 290",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401598",
"telephone_number": "210-614-6432",
"fax_number": "210-615-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E4294",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "E4294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M. DAVID",
"last_name": "DENNIS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.