Active NPI
Thomas L Denker, M.D.
- Anesthesiology Physician
- New Haven, CT
National Provider Identifier
1619956125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 066870
- Practice address
- 333 Cedar Street, TMP 3
New Haven, CT 06510 - Phone
- (203) 785-2802
- Fax
- (203) 785-6664
- NPI assigned
- Jan 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5164 | SD | |
| Anesthesiology Physician | 207L00000X | 066870 | CT | Primary |
Addresses
Primary practice location
333 Cedar Street, TMP 3
New Haven, CT 06510
Mailing address
333 Cedar Street, TMP 3
New Haven, CT 06510
Phone (203) 785-2802
Other practice location 1
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 343-1333 ext. 3004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041196 | Other | SD | WELLMARK NUMBER |
| 5701080 | Medicaid | SD |
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 |
|---|---|---|---|
| 066870 | CT | MD | Anesthesiology Physician |
| 5164 | SD | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1619956125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR STREET, TMP 3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-785-2802",
"fax_number": "203-785-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR STREET, TMP 3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-785-2802",
"fax_number": "203-785-6664"
}
],
"practiceLocations": [
{
"address_1": "353 Fairmont Blvd",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577017375",
"country_code": "US",
"telephone_number": "605-343-1333 x3004",
"fax_number": "605-343-6017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENKER",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SD",
"license": "5164",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "066870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK NUMBER",
"identifier": "0041196",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5701080",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.