NPIMap

Individual provider Active NPI

Kenrick J Dennis, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1740399864
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
886 Issued in TX
Practice address
902 Frostwood Suite 250
Houston, TX 77024-2418
Phone
(713) 465-8833
Fax
(713) 465-8419
NPI assigned
Aug 30, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 886 TX Primary

Addresses

Primary practice location

902 Frostwood Suite 250
Houston, TX 77024-2418

Mailing address

902 Frostwood Suite 250
Houston, TX 77024-2418
Phone (281) 469-2676

Other identifiers 1

IdentifierTypeStateIssuer
092788102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000989 TX Practitioner - Podiatry 6901931047 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 250
Houston, TX 77024-2388

902 Frostwood Dr
Suite 250
Houston, TX 77024-2418
Phone (713) 465-8833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as individual
Quality
61.95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue198
Removal of nail tissue98
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
886TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenrick J Dennis DPM Podiatrist CurrentSince Jan 1, 1990 Accepting new patients
Diagnostic Foot Specialists PastSince Feb 23, 2025 Accepting new patients
Diagnostic Foot Specialists PastSince Feb 23, 2025 Accepting new patients

Locations

11900 FM 1960 Rd W
Houston, TX 77065
Phone (281) 469-2676

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/faa53cfe-86c4-4c37-b87e-a425abe8cc46/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/Jq1h-Z1Yyu4OyupN7ciHN171trNUbJQP/

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1740399864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242418",
            "telephone_number": "281-469-2676",
            "fax_number": "281-469-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242418",
            "telephone_number": "713-465-8833",
            "fax_number": "713-465-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KENRICK",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092788102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.