Active NPI
Dennis Anthony Niner, M.D.
- Obstetrics & Gynecology Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME29080
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259403000 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapters Health Palliative Care, LLC | Current | 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
- 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Temple Terrace, FL
- NPI 1073683553
-
dba Advanced Gastroenterology Associates
- Gastroenterology Physician
- Crystal River, FL
- NPI 1003199076
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
- Nic 4 Spring Oaks Leasing LLC (Spring Oaks)
- Nic 4 the Grande Leasing LLC (The Grande)
- Tamara Leigh Nickerson, CPHT
- Dalila Nieves-Hossler, MD
- Mahmoud Abdelfattah Nimer, M.D.
- Seema Nishat, M.D.
- Cheryl Ann Nobrega, PT, DPT
- Areej Nooruddin, MD
- Brenda Sawyer Norfleet, R.D., L.D./N.
- Melvin Stanley Norfleet, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.