Individual provider Active NPI

Denny James Dartez, M.D.

  • Diagnostic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1821279845
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
205344 Issued in LA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
128973MedicaidAL
128974MedicaidAL
129024MedicaidAL
129165MedicaidAL
051117775OtherALBCBS
051117782OtherALBCBS
051117778OtherALBCBS
051117779OtherALBCBS
051117784OtherALBCBS
09386221MedicaidMS
129060MedicaidAL
129099MedicaidAL
051117776OtherALBCBS
051117780OtherALBCBS
129164MedicaidAL
051117781OtherALBCBS
051117783OtherALBCBS
129026MedicaidAL
051117777OtherALBCBS
129096MedicaidAL
129059MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110629000743 AL Practitioner - Diagnostic Radiology 2264610823 Reassigns benefits to 1 organization
I20130716000317 LA Practitioner - Diagnostic Radiology 2264610823 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28838ALMDBody Imaging Physician
205344LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2011 Accepting new patients
Envision Imaging of Acadiana LLC Diagnostic Radiology CurrentSince Jul 13, 2015 Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology CurrentSince Aug 17, 2015 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.

NPI Registry JSON

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

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    "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",
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            "license": "28838",
            "primary": false
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            "code": "390200000X",
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            "desc": "Student in an Organized Health Care Education/Training Program",
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        },
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    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.