Active NPI
Dennis C Szymanski, M.D.
- Neurological Surgery Physician
- Saint Joseph, MI
National Provider Identifier
1609845940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301030282
- Practice address
- 3950 Hollywood Rd
Suite 210
Saint Joseph, MI 49085-9159 - Phone
- (269) 556-1990
- Fax
- (269) 556-1996
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301030282 | MI | Primary |
Addresses
Primary practice location
3950 Hollywood Rd
Suite 210
Saint Joseph, MI 49085-9159
Mailing address
6416 Deans Hill Rd
Berrien Center, MI 49102-9750
Phone (269) 471-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2725820 | Medicaid | MI |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301030282 | MI | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1609845940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 DEANS HILL RD",
"city": "BERRIEN CENTER",
"state": "MI",
"postal_code": "491029750",
"telephone_number": "269-471-7741",
"fax_number": "269-471-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD",
"address_2": "SUITE 210",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-556-1990",
"fax_number": "269-556-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANSKI",
"first_name": "DENNIS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301030282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2725820",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.