Active NPI
Michael David Dennis, DO
- Rheumatology Physician
- Urbandale, IA
National Provider Identifier
1730756404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 94-11926
- Practice address
- 4323 NW Urbandale Dr
Urbandale, IA 50322-7910 - Phone
- (515) 875-9790
- NPI assigned
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 94-11926 | KS | Primary |
| Rheumatology Physician | 207RR0500X | DO-55570 | IA |
Addresses
Primary practice location
4323 NW Urbandale Dr
Urbandale, IA 50322-7910
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaeldennis@tic.allscriptsdirect.net | Health Information Exchange (HIE) |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-11926 | KS | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1730756404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 NW URBANDALE DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503227910",
"telephone_number": "515-875-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "KS",
"license": "94-11926",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IA",
"license": "DO-55570",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaeldennis@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4323 NW Urbandale Dr",
"city": "Urbandale",
"state": "IA",
"country_code": "US",
"postal_code": "503227910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.