Active NPI
William Dennis, MD
- Emergency Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 61158
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (623) 561-1000
- NPI assigned
- Feb 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 0101231448 | VA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD115260 | MO | |
| Emergency Medicine Physician | 207P00000X | 61158 | AZ | Primary |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500
Other practice location 1
6202 Springhill Way
Suffolk, VA 23435-2868
Phone (757) 589-3262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101277407 | Medicaid | PA | |
| 1629040118 | Other | MT | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD115260 | MO | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Emergency Medicine Physicians of Craven County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Riverside Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Missouri Em-I Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Harry S Crawford III MD PLC | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| University Health Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients |
Locations
7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
Interoperability endpoints
- https://api.platform.athenahealth.com/9929/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- New Bern, NC
- NPI 1164462586
-
- Internal Medicine Physician
- Bridgewater, VA
- NPI 1538238332
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1407243132
-
- Emergency Medicine Physician
- Gloucester, VA
- NPI 1609891746
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1629040118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W PENNSYLVANIA AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597111999",
"telephone_number": "406-563-8500",
"fax_number": "406-563-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087100",
"telephone_number": "623-561-1000"
}
],
"practiceLocations": [
{
"address_1": "6202 Springhill Way",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234352868",
"country_code": "US",
"telephone_number": "757-589-3262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "VA",
"license": "0101231448",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MO",
"license": "MD115260",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "61158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101277407",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1629040118",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.