Individual provider Active NPI

Dimosthenis Costantinos Dafnis, MD

  • Neurology Physician
  • Coldwater, MI
National Provider Identifier
1609807478
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
430173404 Issued in MI
Practice address
23 North Hanchett St
Coldwater, MI 49036
Phone
(517) 278-3412
Fax
(517) 278-6115
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 430173404 MI Primary

Addresses

Primary practice location

23 North Hanchett St
Coldwater, MI 49036

Mailing address

23 North Hanchett St
Coldwater, MI 49036
Phone (517) 278-3412

Other identifiers 3

IdentifierTypeStateIssuer
1301Z0059ZOtherBLUE CROSS
130019309OtherMIMEDICARE RAILROAD
0530097OtherIBA

Other names 1

  • Dr. Dennis C Dafnis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000687 MI Practitioner - Neurology 8123114360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-9005

23 N Hanchett St
Coldwater, MI 49036-1652

Hospital & facility affiliations

  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
430173404MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County CurrentSince Sep 17, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients

Locations

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1609807478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH HANCHETT ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-3412",
            "fax_number": "517-278-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH HANCHETT ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-3412",
            "fax_number": "517-278-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFNIS",
        "first_name": "DIMOSTHENIS",
        "middle_name": "COSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "430173404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1301Z0059Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "130019309",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "0530097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "DAFNIS",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.