Active NPI
G'Anna Dennis
- Massage Therapist
- Salem, OR
National Provider Identifier
1760741284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15129
- Practice address
- 1173 2ND St NW
Salem, OR 97304-4003 - Phone
- (971) 218-0607
- NPI assigned
- May 4, 2012
- Last updated
- May 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15129 | OR | Primary |
Addresses
Primary practice location
1173 2ND St NW
Salem, OR 97304-4003
Mailing address
1173 2ND St NW
Salem, OR 97304-4003
Phone (971) 218-0607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15129 | Other | OR | STATE OF OREGON BOARD OF MASSAGE THERAPISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15129 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1760741284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 2ND ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044003",
"telephone_number": "971-218-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 2ND ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044003",
"telephone_number": "971-218-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "G'ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON BOARD OF MASSAGE THERAPISTS",
"identifier": "15129",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Spirit Rae Christina Den Hoed
- Jordan Denbo, BEHAVIOR TECHNICIAN
- Denise a Lucas LPC
- Ginger A Denney, FNP
- Dennis D. Johnson DMD PC
- Dental Health Professionals of Oregon, PC (Valley View Dental Care)
- Dental Professionals of Oregon, P.C. (Pearly Whites Family Dentistry)
- Dental Professionals of Oregon, P.C. (Crown Point Dental Care)
- Dental West Associates PC
- Erik John Denton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.