Individual provider Active NPI

Todd Randal Denson, D.M.D.

  • General Practice Dentistry
  • Titusville, FL
National Provider Identifier
1568475226
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13298 Issued in FL
Practice address
2191 Garden St
Titusville, FL 32796-2577
Phone
(321) 269-5701
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 130910351 FL
General Practice Dentistry 1223G0001X 13298 FL Primary

Addresses

Primary practice location

2191 Garden St
Titusville, FL 32796-2577

Mailing address

2191 Garden St
Titusville, FL 32796-2577
Phone (321) 269-5701

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130910351FLMDGeneral Practice Dentistry
13298FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Todd R Denson, DMD CurrentSince Mar 31, 2024 Accepting new patients
Todd R Denson, DMD Current Accepting new patients

Locations

2191 Garden St
Titusville, FL 32796
Phone (321) 269-5701

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1568475226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962577",
            "telephone_number": "321-269-5701",
            "fax_number": "321-268-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962577",
            "telephone_number": "321-269-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "TODD",
        "middle_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "130910351",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.