Organization Active NPI

Dennis Plastic Surgery Center

  • Specialist
  • Mobile, AL
National Provider Identifier
1881676146
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DENNIS PLASTIC SURGERY CENTER
Practice address
50B Midtown Park W
Mobile, AL 36606-4148
Phone
(251) 435-5114
Fax
(251) 435-5116
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Daniel A Dennnis III, M.D.
Title
President/Owner
Phone
(251) 435-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

50B Midtown Park W
Mobile, AL 36606-4148

Mailing address

50B Midtown Park W
Mobile, AL 36606-4148
Phone (251) 435-5114

National Provider Directory

National Provider Directory

Locations

50B Midtown Park W
Mobile, AL 36606
Phone (251) 435-5114

4310 Old Shell Rd
Ste E
Mobile, AL 36608
Phone (251) 377-5862

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1881676146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50B MIDTOWN PARK W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064148",
            "telephone_number": "251-435-5114",
            "fax_number": "251-435-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50B MIDTOWN PARK W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064148",
            "telephone_number": "251-435-5114",
            "fax_number": "251-435-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "DENNNIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "251-435-5114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.