Active NPI
Larry S. Dencklau, DO
- Emergency Medicine Physician
- Rowlett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M2940
- Practice address
- 6800 Scenic Dr
Rowlett, TX 75088-4552 - Phone
- (972) 412-3345
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-112818 | IL | |
| Emergency Medicine Physician | 207P00000X | M2940 | TX | Primary |
Addresses
Primary practice location
6800 Scenic Dr
Rowlett, TX 75088-4552
Mailing address
10109 Huffines Dr
Rowlett, TX 75089
Phone (972) 475-0475
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000
Hospital & facility affiliations
- Ut Health East Texas Carthage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-112818 | IL | MD | Emergency Medicine Physician |
| M2940 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Northeast Texas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emcare GLT Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Five Point Urgent Care Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Plano Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Texas Emergency Rooms Services, PA | Emergency Medicine | Past | Accepting new patients |
| Lake Pointe Radiology Associates PA | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Texas Em-I Medical Services, P.a. | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
2800 State Highway 24
Commerce, TX 75428
Phone (903) 866-3161
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
738 E Quinlan Pkwy
Quinlan, TX 75474
Phone (903) 408-4800
231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Interoperability endpoints
- ldencklau360231@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1114607611
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1003866203
-
- Emergency Medicine Physician
- Rockwall, TX
- NPI 1184892515
-
- Diagnostic Radiology Physician
- Rowlett, TX
- NPI 1437114188
-
- Emergency Medicine Physician
- Plano, TX
- NPI 1982779393
-
- Physician Assistant
- Corsicana, TX
- NPI 1124065735
-
- Emergency Medicine Physician
- Plano, TX
- NPI 1538112594
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1669430617
-
- Emergency Medicine Physician
- Corsicana, TX
- NPI 1669410619
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carthage, TX
- NPI 1538667035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497736375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10109 HUFFINES DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "75089",
"telephone_number": "972-475-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SCENIC DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884552",
"telephone_number": "972-412-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENCKLAU",
"first_name": "LARRY",
"middle_name": "S.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-112818",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M2940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.