Baron Takayuki Denniston, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD044333L Issued in PA

Practice address

150 E 8TH St
1St..FLR
Erie, PA 16501-1269

Phone

(814) 456-1863

Fax

(814) 456-0864

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Boston University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Baron T. Denniston M.D.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1902057045
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1790837490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "address_2": "1ST FLR.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-456-1863",
            "fax_number": "814-456-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "address_2": "1ST..FLR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-456-1863",
            "fax_number": "814-456-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISTON",
        "first_name": "BARON",
        "middle_name": "TAKAYUKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD044363L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD044333L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter McCance Denne, D.O
• Claire Denne, SLP
• Dennis M Scully, MD
• David Dennis, MS, ATC
• Peter Dennis, DDS
• Sean Dent
• Dental Arts of Erie
• Dental Services of Western Pennsylvania, LLC (Aspen Dental)
• Katie Depanfilis, LPC
• Department of Military Affairs Commonwealth of Pennsylvania (PA Soldiers' and Sailors' Home Pharmacy)

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.