Kevin Odell Dennis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37294 Issued in TN

Practice address

2000 Mallory LN
Suite 130-256
Franklin, TN 37067-8209

Phone

(615) 598-1289

Fax

(615) 778-1327

NPI assigned

Jan 9, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.dennismd.p1@direct.mwchc.nextgenshare.com

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.

• Extendcare Medical Group PLLC

  • Family Medicine Physician
  • Franklin, TN
  • NPI 1902831217
  NPD (past) Authorized official
• Matthew Walker Comprehensive Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
  • NPI 1356405278
  NPD (past)
• Mid Atlantic Long Term Care

  • Skilled Nursing Facility
  • Towson, MD
  • NPI 1154337038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1740268861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MALLORY LN",
            "address_2": "SUITE 130-256",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678209",
            "telephone_number": "615-598-1289",
            "fax_number": "615-778-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MALLORY LN",
            "address_2": "SUITE 130-256",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678209",
            "telephone_number": "615-598-1289",
            "fax_number": "615-778-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KEVIN",
        "middle_name": "ODELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3885919",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary John Demko, MD
• Alisa Michelle Demorest
• Andrew Denefe, DPT
• Wade Denison
• Carolyn Gorski Denning
• Dental Bliss, P.C.
• Dental Haven LLC
• Elizabeth Hurley Denton, OTR/L
• Henry Dephillips, MD
• Ronald Gerard Derr, DO

• Family Medicine Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.