Organization Active NPI

Dennington Collab

  • Optometrist
  • Fair Oaks Ranch, TX
National Provider Identifier
1750936720
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DENNINGTON COLLAB
Practice address
9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690
Phone
(210) 698-6393
Fax
(210) 698-9788
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Dr. Ashlynn Nicole Dennington, ODNPI 1437702107
Title
Owner
Phone
(210) 698-6393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690

Mailing address

9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690
Phone (210) 698-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190927001429 TX Part B Supplier - Clinic/Group Practice 7416287800 Receives reassigned benefits from 2 practitioners
Practice locations: Fair Oaks Ranch, TX; San Antonio, TX

National Provider Directory

National Provider Directory
Tax ID family
Dennington Collab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9091 Fair Oaks Pkwy
Ste 306
Fair Oaks Ranch, TX 78015
Phone (210) 698-6393

9091 Fair Oaks Pkwy
Fair Oaks Ranch, TX 78015

9091 Fair Oaks Pkwy
Ste 307
Fair Oaks Ranch, TX 78015
Phone (210) 698-6393

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1750936720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY STE 307",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154690",
            "telephone_number": "210-698-6393",
            "fax_number": "210-698-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY STE 307",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154690",
            "telephone_number": "210-698-6393",
            "fax_number": "210-698-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNINGTON COLLAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "DENNINGTON",
        "authorized_official_first_name": "ASHLYNN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-698-6393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.