Individual provider Active NPI

Mark Allen Dennis, D.C.

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1821315656
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11418 Issued in TX
Practice address
4500 E Sam Houston Pkwy S
Ste 115
Pasadena, TX 77505-3959
Phone
(281) 991-3002
Fax
(281) 991-3022
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11418 TX Primary

Addresses

Primary practice location

4500 E Sam Houston Pkwy S
Ste 115
Pasadena, TX 77505-3959

Mailing address

4500 E Sam Houston Pkwy S
Ste 115
Pasadena, TX 77505-3959
Phone (281) 991-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11418TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patients Rehabilitation Center LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1821315656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S",
            "address_2": "STE 115",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053959",
            "telephone_number": "281-991-3002",
            "fax_number": "281-991-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S",
            "address_2": "STE 115",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053959",
            "telephone_number": "281-991-3002",
            "fax_number": "281-991-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.