Active NPI
Gregory J Dennis, DO
- Family Medicine Physician
- Yukon, OK
National Provider Identifier
1508976051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4513
- Practice address
- 520 S Mustang Rd
Yukon, OK 73099-6737 - Phone
- (405) 936-5910
- Fax
- (405) 577-2605
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4513 | OK | Primary |
Addresses
Primary practice location
520 S Mustang Rd
Yukon, OK 73099-6737
Mailing address
4401 W Memorial Rd
140
Oklahoma City, OK 73134-1785
Phone (405) 752-3162
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4513 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- gdennis100839@directc.mercy.net
- gregory.dennis@784267839537156.direct.elationemr.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Internal Medicine Physician
- Newton, KS
- NPI 1104864503
Family Medicine
-
- Rural Health Clinic/Center
- Holton, KS
- NPI 1639145204
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1508976051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-752-3162",
"fax_number": "405-936-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996737",
"telephone_number": "405-936-5910",
"fax_number": "405-577-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.