Individual provider Active NPI

Martine J Denn, MD

  • Pediatric Anesthesiology Physician
  • Germantown, TN
National Provider Identifier
1457460214
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
ME43598 Issued in FL
Practice address
1900 Exeter Rd
Ste 210
Germantown, TN 38138-2954
Phone
(901) 818-2160
Fax
(901) 682-9443
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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 ME0043598 FL
Pediatric Anesthesiology Physician 207LP3000X ME43598 FL Primary

Addresses

Primary practice location

1900 Exeter Rd
Ste 210
Germantown, TN 38138-2954

Mailing address

1900 Exeter Rd
Ste 210
Germantown, TN 38138-2954
Phone (901) 818-2160

Other identifiers 3

IdentifierTypeStateIssuer
47646OtherMEDICARE
69406100MedicaidFL
694406100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221011001148 TX Practitioner - Anesthesiology 6002900651 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0043598FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology Anesthesia Associates PLLC Anesthesiology CurrentSince Nov 28, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Orlando Health Inc Pediatric Anesthesiology Past Accepting new patients
Orlando Health Inc Past Accepting new patients

Locations

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

3944 Ranch Road 620 S
Bldg 8
Bee Cave, TX 78738
Phone (512) 263-1113

2220 Pease St
#C
Harlingen, TX 78550
Phone (956) 389-6000

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1457460214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EXETER RD",
            "address_2": "STE 210",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382954",
            "telephone_number": "901-818-2160",
            "fax_number": "901-682-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EXETER RD",
            "address_2": "STE 210",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382954",
            "telephone_number": "901-818-2160",
            "fax_number": "901-682-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENN",
        "first_name": "MARTINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0043598",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "FL",
            "license": "ME43598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "47646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69406100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694406100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.