NPIMap

Individual provider Active NPI

David Dennis Dargis, D.O.

  • Family Medicine Physician
  • Alpena, MI
National Provider Identifier
1457490609
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014566 Issued in MI
Practice address
109 S 13TH Ave
Alpena, MI 49707-1609
Phone
(989) 356-2400
Fax
(989) 354-2606
NPI assigned
Feb 5, 2007
Last updated
Apr 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014566 MI Primary

Addresses

Primary practice location

109 S 13TH Ave
Alpena, MI 49707-1609

Mailing address

109 S 13TH Ave
Alpena, MI 49707-1609
Phone (989) 356-2400

Other identifiers 1

IdentifierTypeStateIssuer
1457490609MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000369 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric Medicine 7416901699 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Alpena, MI

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpena Express Care and Family Practice, PLCGroup PAC ID 4284976473, 3 clinicians

Practice addresses (Care Compare)

109 S 13TH Ave
Alpena, MI 49707-1609
Phone (989) 356-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101014566MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpena Express Care and Family Practice, PLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Atrium Lincoln Haven LLC Past Accepting new patients
Green View Opco, LLC Past Accepting new patients
Gaylord Opco, LLC Past Accepting new patients
Cheboygan Opco LLC Past Accepting new patients
Rogers City Opco, LLC Past Accepting new patients
Ausable Valley Continuing Care Retirement Community, Inc. Past Accepting new patients
Iosco Medical Care Facility Past Accepting new patients
Hillman Opco LLC Past Accepting new patients
Sault Ste. Marie Opco, LLC Past Accepting new patients
Alpena Opco LLC Past Accepting new patients

Locations

109 S Thirteenth Ave
Alpena, MI 49707
Phone (989) 356-2400

301 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-2194

1390 Maple Dr
Fairview, MI 48621
Phone (989) 848-0827

1201 Harris Ave
Tawas City, MI 48763
Phone (989) 362-4424

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellspring Lutheran ServicesFairview, MI, CCN 235400 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1457490609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-356-2400",
            "fax_number": "989-354-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-356-2400",
            "fax_number": "989-354-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGIS",
        "first_name": "DAVID",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457490609",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.