Active NPI
William Austin Dennis, M.D.
- Family Medicine Physician
- Henderson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200200514
- Practice address
- 480 Ruin Creek Rd
Henderson, NC 27536-2929 - Phone
- (252) 492-3152
- Fax
- (252) 430-1928
- NPI assigned
- Apr 14, 2006
- Last updated
- May 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200200514 | NC | Primary |
Addresses
Primary practice location
480 Ruin Creek Rd
Henderson, NC 27536-2929
Mailing address
5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131VH | Medicaid | NC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1868
480 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 492-3152
267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622
401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060
162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205
10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889
7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480
3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080
Organizations & group practices 4
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.
-
dba Sutton Station Internal Medicine
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
dba Duke Urgent Care Knightdale
- Emergency Medicine Physician
- Knightdale, NC
- NPI 1619113909
Family Medicine
-
dba Duke Urgent Care
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
dba Henderson Family Medicine Clinic
- Family Medicine Physician
- Henderson, NC
- NPI 1932137676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1760446892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 S ALSTON AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134430",
"telephone_number": "919-620-4917",
"fax_number": "919-620-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362929",
"telephone_number": "252-492-3152",
"fax_number": "252-430-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "WILLIAM",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200200514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131VH",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.