Active NPI
Denny James Dartez, M.D.
- Diagnostic Radiology Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 205344
- Practice address
- 1800 Ryan St Ste 105
Lake Charles, LA 70601-6078 - Phone
- (337) 439-4706
- Fax
- (337) 439-8110
- NPI assigned
- Nov 19, 2007
- Last updated
- Mar 19, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 28838 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 205344 | LA | Primary |
Addresses
Primary practice location
1800 Ryan St Ste 105
Lake Charles, LA 70601-6078
Mailing address
PO Box 919112
Dallas, TX 75391-9112
Phone (337) 439-4706
Other identifiers 21
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128973 | Medicaid | AL | |
| 128974 | Medicaid | AL | |
| 129024 | Medicaid | AL | |
| 129165 | Medicaid | AL | |
| 051117775 | Other | AL | BCBS |
| 051117782 | Other | AL | BCBS |
| 051117778 | Other | AL | BCBS |
| 051117779 | Other | AL | BCBS |
| 051117784 | Other | AL | BCBS |
| 09386221 | Medicaid | MS | |
| 129060 | Medicaid | AL | |
| 129099 | Medicaid | AL | |
| 051117776 | Other | AL | BCBS |
| 051117780 | Other | AL | BCBS |
| 129164 | Medicaid | AL | |
| 051117781 | Other | AL | BCBS |
| 051117783 | Other | AL | BCBS |
| 129026 | Medicaid | AL | |
| 051117777 | Other | AL | BCBS |
| 129096 | Medicaid | AL | |
| 129059 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28838 | AL | MD | Body Imaging Physician |
| 205344 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Envision Imaging of Acadiana LLC | Diagnostic Radiology | Current | Accepting new patients |
| Second Avenue MRI LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Tammany Parish Hospital Service District No 1 | Past | Accepting new patients | |
| Lafayette Radiology Associated | Diagnostic Radiology | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211
1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778
1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161
2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1154318541
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- NPI 1083793582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1821279845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919112",
"city": "DALLAS",
"state": "TX",
"postal_code": "753919112",
"telephone_number": "337-439-4706",
"fax_number": "337-439-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 RYAN ST STE 105",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706016078",
"telephone_number": "337-439-4706",
"fax_number": "337-439-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARTEZ",
"first_name": "DENNY",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "AL",
"license": "28838",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "205344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128973",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128974",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129024",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129165",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117775",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117782",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117778",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117779",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117784",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09386221",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129060",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129099",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117776",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117780",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129164",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117781",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117783",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129026",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117777",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129096",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129059",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.