Individual provider Active NPI

James Eric Dennemeyer, M.D.

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1477522373
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29525 Issued in AZ
Practice address
8573 E San Alberto Ste E100
Scottsdale, AZ 85258-4612
Phone
(480) 778-1732
Fax
(480) 778-1709
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME115575 FL
Pediatrics Physician 208000000X MD 034462E PA
Pediatrics Physician 208000000X 29525 AZ Primary

Addresses

Primary practice location

8573 E San Alberto Ste E100
Scottsdale, AZ 85258-4612

Mailing address

9827 N 95TH St Ste 105
Scottsdale, AZ 85258-4591
Phone (480) 425-4890

Other practice location 1

7560 Red Bug Lake Rd
Oviedo, FL 32765-6591
Phone (407) 366-4040

Other identifiers 3

IdentifierTypeStateIssuer
001665399MedicaidPA
010450600MedicaidFL
620428MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180810000324 NM Practitioner - Pediatric Medicine 8325149917 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115575FLMDPediatrics Physician
MD 034462EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Aug 15, 2020 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Current Accepting new patients
Arbor Medical Partners, LLC Pediatrics Past Accepting new patients
North Scottsdale Pediatric Associates Pediatrics Past Accepting new patients

Locations

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

Organizations & group practices 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1477522373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 N 95TH ST STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584591",
            "telephone_number": "480-425-4890",
            "fax_number": "480-590-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 E SAN ALBERTO STE E100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584612",
            "telephone_number": "480-778-1732",
            "fax_number": "480-778-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7560 Red Bug Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656591",
            "country_code": "US",
            "telephone_number": "407-366-4040",
            "fax_number": "407-366-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNEMEYER",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115575",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD 034462E",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "29525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001665399",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010450600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.