Active NPI
Patrick M Dennis, MD
- Ophthalmology Physician
- Kinston, NC
National Provider Identifier
1487633236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24377
- Practice address
- 701 Doctors Dr
Kinston, NC 28501-1584 - Phone
- (252) 522-1611
- Fax
- (252) 522-0189
- NPI assigned
- Jan 11, 2006
- Last updated
- May 23, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24377 | NC | Primary |
Addresses
Primary practice location
701 Doctors Dr
Kinston, NC 28501-1584
Mailing address
1503 Saint James PL
Kinston, NC 28504-2543
Phone (252) 522-1611
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28336 | Other | NC | BCBS IND PROV ID |
| 8928336 | Medicaid | NC | |
| 8901153 | Medicaid | NC | |
| 01153 | Other | NC | BCBS GROUP PROV ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primevision Kinston PA | Ophthalmology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Kinston, NC
- NPI 1538151279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1487633236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 SAINT JAMES PL",
"city": "KINSTON",
"state": "NC",
"postal_code": "285042543",
"telephone_number": "252-522-1611",
"fax_number": "252-522-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DOCTORS DR",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011584",
"telephone_number": "252-522-1611",
"fax_number": "252-522-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "PATRICK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "24377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND PROV ID",
"identifier": "28336",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8928336",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901153",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PROV ID",
"identifier": "01153",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.