Individual provider Active NPI

Dennis Anthony Niner, M.D.

  • Obstetrics & Gynecology Physician
  • Brooksville, FL
National Provider Identifier
1629031091
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME29080 Issued in FL
Practice address
620 W Jefferson St
Brooksville, FL 34601-2518
Phone
(352) 799-7073
Fax
(352) 799-7673
NPI assigned
Apr 7, 2006
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME29080 FL Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME29080 FL

Addresses

Primary practice location

620 W Jefferson St
Brooksville, FL 34601-2518

Mailing address

620 W Jefferson St
Brooksville, FL 34601-2518
Phone (352) 799-7073

Other identifiers 1

IdentifierTypeStateIssuer
259403000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040127001014 FL Practitioner - Obstetrics/Gynecology 1153224308 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chapters Health Palliative Care, LLC CurrentSince Jun 1, 2025 Accepting new patients
B Jeffrey Wallis MD PA Past Accepting new patients

Locations

12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111

12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFIFBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1629031091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012518",
            "telephone_number": "352-799-7073",
            "fax_number": "352-799-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012518",
            "telephone_number": "352-799-7073",
            "fax_number": "352-799-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINER",
        "first_name": "DENNIS",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME29080",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME29080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259403000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.