Active NPI
Lee Monroe Dennis, MD
- General Practice Physician
- Dover, DE
National Provider Identifier
1629040647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C1-0002705
- Practice address
- 960 Forest St
Dover, DE 19904-3470 - Phone
- (302) 735-1888
- Fax
- (302) 735-1802
- NPI assigned
- Feb 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C1-0002705 | DE | Primary |
Addresses
Primary practice location
960 Forest St
Dover, DE 19904-3470
Mailing address
960 Forest St
Dover, DE 19904-3470
Phone (302) 735-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1629040647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 FOREST ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043470",
"telephone_number": "302-735-1888",
"fax_number": "302-735-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 FOREST ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043470",
"telephone_number": "302-735-1888",
"fax_number": "302-735-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "LEE",
"middle_name": "MONROE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C1-0002705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.