Individual provider Active NPI

Denny Carl Torres, PA

  • Medical Physician Assistant
  • Lawton, OK
National Provider Identifier
1821083601
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1141 Issued in OK
Practice address
5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone
(580) 531-0022
Fax
(580) 531-0026
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1141 OK Primary

Addresses

Primary practice location

5402 SW Lee Blvd
Lawton, OK 73505-9521

Mailing address

5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 531-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000534 OK Practitioner - Physician Assistant 0749240539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT of Oklahoma PLLCGroup PAC ID 5799732236, 5 clinicians

Practice addresses (Care Compare)

5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 531-0022

Hospital & facility affiliations

  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1141OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Medical Center, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1821083601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059521",
            "telephone_number": "580-531-0022",
            "fax_number": "580-531-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059521",
            "telephone_number": "580-531-0022",
            "fax_number": "580-531-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "DENNY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.