Active NPI
Jeremy A. Denman, D.D.S.
- Dentist
- Odessa, TX
National Provider Identifier
1760835359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17651
- Practice address
- 8151 Dorado Dr
Odessa, TX 79765-8533 - Phone
- (432) 563-5633
- Fax
- (432) 563-5630
- NPI assigned
- Jul 19, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17651 | TX | Primary |
Addresses
Primary practice location
8151 Dorado Dr
Odessa, TX 79765-8533
Mailing address
8151 Dorado Dr
Odessa, TX 79765-8533
Phone (432) 563-5633
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 |
|---|---|---|---|
| 17651 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy a. Denman, D.D.S., P.C. | Dentist | Past | Accepting new patients |
| Emh Dental Associates PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Odessa, TX
- NPI 1417170036
-
- Dentist
- Odessa, TX
- NPI 1659028553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1760835359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8151 DORADO DR",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658533",
"telephone_number": "432-563-5633",
"fax_number": "432-563-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8151 DORADO DR",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658533",
"telephone_number": "432-563-5633",
"fax_number": "432-563-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENMAN",
"first_name": "JEREMY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.