R. Blake Dennis, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

12163 Issued in SC

Practice address

1106 Chuck Dawley Blvd
Suite 100
Mount Pleasant, SC 29464-4183

Phone

(843) 849-1551

Fax

(843) 884-0629

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1497742720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-849-1551",
            "fax_number": "843-884-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-849-1551",
            "fax_number": "843-884-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "R.",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "12163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0683",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2895",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Dellinger, NP
• Brooke Morgan Deloach, LPCA
• James Robert Demarco, MD
• Valerie Demasi
• Simone Marie Demass, PT - PHYSICAL THERAP
• Denslow Family Relations Center, Inc.
• Rebecca Denslow
• Dental Professional of South Carolina, P.C.
• Dental Professionals of South Carolina, P.C.
• Dentistry for Children of South Carolina PC

• Orthopaedic Surgery of the Spine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Orthopaedic Surgery of the Spine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.