Individual provider Active NPI

David Kee Dennison, D.D.S., MS., PHD.

  • Periodontics
  • Houston, TX
National Provider Identifier
1588700520
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
14744 Issued in TX
Practice address
3100 Richmond Ave
Suite 509
Houston, TX 77098-3019
Phone
(713) 523-9040
Fax
(713) 523-7885
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 14744 TX Primary

Addresses

Primary practice location

3100 Richmond Ave
Suite 509
Houston, TX 77098-3019

Mailing address

3100 Richmond Ave
Suite 509
Houston, TX 77098-3019
Phone (713) 523-9040

Other identifiers 1

IdentifierTypeStateIssuer
760488193OtherTXTAX ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002472 TX Order and Referring Only - DentistPractitioner - Dentist 1456645100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Periodontal Associates PLLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1588700520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RICHMOND AVE",
            "address_2": "SUITE 509",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983019",
            "telephone_number": "713-523-9040",
            "fax_number": "713-523-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RICHMOND AVE",
            "address_2": "SUITE 509",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983019",
            "telephone_number": "713-523-9040",
            "fax_number": "713-523-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "DAVID",
        "middle_name": "KEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., MS., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "14744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760488193",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.