Active NPI
John P Denny, M.D.
- Retina Specialist (Ophthalmology) Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 200300139
- Practice address
- 4414 Lake Boone TRL
Suite 302
Raleigh, NC 27607-7513 - Phone
- (919) 782-8038
- Fax
- (919) 782-8189
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 200300139 | NC | Primary |
| Ophthalmology Physician | 207W00000X | 200300139 | NC |
Addresses
Primary practice location
4414 Lake Boone TRL
Suite 302
Raleigh, NC 27607-7513
Mailing address
4414 Lake Boone TRL
Suite 302
Raleigh, NC 27607-7513
Phone (919) 782-8038
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014T8 | Medicaid | NC | |
| 891360N | Medicaid | NC | |
| 1360N | Other | NC | BCBS INDIVIDUAL |
| 562043271 | Other | NC | TAX ID |
| 014T8 | Other | NC | BCBS GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdenny@northcarolinaretina.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Duke University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 Ashville Ave
Suite 60
Cary, NC 27518-6679
Phone (919) 782-8038
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300139 | NC | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates, PLLC | Ophthalmology | Current | Accepting new patients |
Locations
106 Ridge View Dr
Ste 100
Cary, NC 27511
216 Ashville Ave
Ste 60
Cary, NC 27518
Phone (919) 655-7873
4414 Lake Boone Trl
Ste 302
Raleigh, NC 27607
Phone (919) 782-8038
Interoperability endpoints
- jdenny@northcarolinaretina.intellechartdirect.net
Organizations & group practices 1
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.
-
- Retina Specialist (Ophthalmology) Physician
- Raleigh, NC
- NPI 1760408397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1679684237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL",
"address_2": "SUITE 302",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077513",
"telephone_number": "919-782-8038",
"fax_number": "919-782-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL",
"address_2": "SUITE 302",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077513",
"telephone_number": "919-782-8038",
"fax_number": "919-782-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNY",
"first_name": "JOHN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NC",
"license": "200300139",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "200300139",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014T8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891360N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "1360N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "562043271",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "014T8",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdenny@northcarolinaretina.intellechartdirect.net",
"affiliation": "N",
"address_1": "4414 Lake Boone Trl",
"address_2": "Suite 302",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.