John Scott Dennis, DO
Individual provider Active NPI Vascular & Interventional Radiology Physician · Tulsa, OK
NPI 1871584060 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1871584060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 2452 (OK)
- Practice address
- 4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5229 - Phone
- (918) 728-6194
- Fax
- (918) 664-0267
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 76
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Chicago College of Osteopathy, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Choctaw Nation of Oklahoma
Cherokee Nation
Creek Nation Hospital and Clinics
Clinton Indian Health Center
Pawnee Indian Health Center
Lawton Indian Hospital
El Reno Indian Health Center
Anadarko Indian Health Center
Wewoka Indian Health
Diagnostic Imaging Associates Inc
Albuquerque Indian Health Center
Pine Ridge Indian Health Service Hospital
Zuni Indian Hospital
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201
101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1020 Lenape Dr
Nowata, OK 74048-4403
Phone (918) 273-0192
10321 N
Suite 2274
Clinton, OK 73601-7521
10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410
109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391
1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424
1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391
1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600
201 E Parker McKenzie Dr
Anadarko, OK 73005-5009
Phone (405) 247-7900
2204 E Main STR
Choctaw Nation Health Care Stigler
Stigler, OK 74462-2822
Phone (539) 316-6391
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800
301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150
36640 Hwy 270
Wewoka, OK 74884
36640 Hwy 270
Wewoka, OK 74884-4021
Phone (405) 257-6282
3906 E 63Rd St
Tulsa, OK 74136-1500
Phone (918) 935-3550
410 N M St
Choctaw Nation Health Care Hugo
Hugo, OK 74743-1820
Phone (539) 316-6391
4500 S Garnett Rd
Suite 112
Tulsa, OK 74146-5201
Phone (918) 935-3550
Hospital & facility affiliations
- Saint Francis Hospital Muskogee
- Cherokee Nation W W Hastings Indian Hospital
- St Mary'S Regional Medical Center
- SSM Health St Anthony Hospital - Midwest
- Integris Health Enid Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OK, TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040803000032 | OK | Practitioner - Diagnostic Radiology | 3173594389 | Reassigns benefits to 2 organizations |
| I20050728000739 | TX | Practitioner - Diagnostic Radiology | 3173594389 | Reassigns benefits to 15 organizations |
| I20200131000703 | NM | Practitioner - Diagnostic Radiology | 3173594389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2452 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Anadarko Indian Health Center | Current |
Accepting new patients | |
| Albuquerque Indian Health Center | Current |
Accepting new patients | |
| Oklahoma Diagnostic Imaging LTD | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Lawton Indian Hospital | Current |
Accepting new patients | |
| Wewoka Indian Health | Current |
Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Contract X-Ray Services, Inc. | Current |
Accepting new patients | |
| Taos Picuris Health Center | Current |
Accepting new patients | |
| Artesia General Hospital | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Cherokee Nation | Current |
Accepting new patients | |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| El Reno Indian Health Center | Current |
Accepting new patients | |
| Artesia General Hospital | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Clinton Indian Health Center | Current |
Accepting new patients | |
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Pawnee Indian Health Center | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Zuni Indian Hospital | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients | |
| Cherokee Nation | Past |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Pawhuska IHS Pharmacy | Past | Accepting new patients | |
| Springer Clinic Inc | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past |
Accepting new patients |
Locations (25 of 48)
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000
612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823
2544 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 505-2725
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
Interoperability endpoints
- john.dennis.p2@direct.ctca-clinic.nextgenshare.com
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
- https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2452 | OK | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2452 | OK | Yes |
Addresses
Primary practice location
4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5229
Mailing address
4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5238
Phone (918) 728-6194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100062800A | Medicaid | OK |
NPI Registry JSON
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1871584060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465238",
"telephone_number": "918-728-6194",
"fax_number": "855-917-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-728-6194",
"fax_number": "918-664-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JOHN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "2452",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OK",
"license": "2452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100062800A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Amari Dennis
- Brent Dennis
- Brody Dennis
- Isaac Ray Dennis
- Jacob William Dennis
- Marquess Dennis Sr.
- Rhiannon Dennis
- Syeachia Nyreahri Dennis
- Denny E Krout DO Inc
- Andrea Sue Denny
All providers in Tulsa, OK · Vascular & Interventional Radiology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.