Organization Active NPI

Denison Medical and Surgical Associates, P.C.

  • Surgery Physician
  • Denison, IA
National Provider Identifier
1780865964
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18961 Issued in IA
Legal business name
DENISON MEDICAL AND SURGICAL ASSOCIATES, P.C.
Practice address
115 N 14TH St
Denison, IA 51442-1452
Phone
(712) 263-5071
Fax
(712) 263-6106
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Dennis Wayne Crabb, MDNPI 1760453302
Title
President
Phone
(712) 263-5071

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 18961 IA Primary

Addresses

Primary practice location

115 N 14TH St
Denison, IA 51442-1452

Mailing address

115 N 14TH St
Denison, IA 51442-1452
Phone (712) 263-5071

National Provider Directory

National Provider Directory

Locations

114 S 20th St
Denison, IA 51442
Phone (712) 263-3114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1780865964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 14TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421452",
            "telephone_number": "712-263-5071",
            "fax_number": "712-263-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 14TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421452",
            "telephone_number": "712-263-5071",
            "fax_number": "712-263-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISON MEDICAL AND SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-263-5071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "18961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.