Active NPI
Denise Cantu Bannister, M.D.,P.a.
- Internal Medicine Physician
- Richardson, TX
National Provider Identifier
1558666016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8482
- Legal business name
- DENISE CANTU BANNISTER, M.D.,P.A.
- Practice address
- 403 W Campbell Rd
Ste. 410
Richardson, TX 75080-3465 - Phone
- (972) 498-8670
- Fax
- (972) 498-8676
- NPI assigned
- Jan 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise Cantu Bannister, M.D.
- Title
- President
- Phone
- (972) 498-8670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8482 | TX | Primary |
Addresses
Primary practice location
403 W Campbell Rd
Ste. 410
Richardson, TX 75080-3465
Mailing address
403 W Campbell Rd
Ste. 410
Richardson, TX 75080-3465
Phone (972) 498-8670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
403 W Campbell Rd
Ste 410
Richardson, TX 75080
Phone (972) 498-8670
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1326059130
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1154483410
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1942221510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294963200000",
"number": "1558666016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W CAMPBELL RD",
"address_2": "STE. 410",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803465",
"telephone_number": "972-498-8670",
"fax_number": "972-498-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W CAMPBELL RD",
"address_2": "STE. 410",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803465",
"telephone_number": "972-498-8670",
"fax_number": "972-498-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE CANTU BANNISTER, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A",
"authorized_official_last_name": "BANNISTER",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "CANTU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-498-8670",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.