Individual provider Active NPI

Larry S. Dencklau, DO

  • Emergency Medicine Physician
  • Rowlett, TX
National Provider Identifier
1497736375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M2940 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000565 TX Practitioner - Emergency Medicine 8527014281 Reassigns benefits to 3 organizations

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
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

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 Hospital, Carthage, TX, CCN 450210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112818ILMDEmergency Medicine Physician
M2940TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 6, 2024 Accepting new patients
Emcare GLT Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Five Point Urgent Care Physicians PLLC Emergency Medicine PastSince Oct 29, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.