Active NPI
Dennis A Ice, MD
- Interventional Pain Medicine Physician
- Amarillo, TX
National Provider Identifier
1891801049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- K0068
- Practice address
- 11 Medical Drive
Amarillo, TX 79106-1781 - Phone
- (806) 353-6400
- NPI assigned
- Aug 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | K0068 | TX | Primary |
Addresses
Primary practice location
11 Medical Drive
Amarillo, TX 79106-1781
Mailing address
11 Medical Drive
Amarillo, TX 79106-1781
Phone (806) 353-6400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115738101 | Other | TX | SOUTHWEST LIFE & HEALTH |
| 148784502 | Medicaid | TX | |
| 8Z0461 | Other | TX | BCBS |
| 115738101 | Other | TX | FIRST CARE |
| P00045527 | Other | TX | MEDICARE RAILROAD |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Neuroscience and Spine Center PA | 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.
-
- Neurological Surgery Physician
- Amarillo, TX
- NPI 1366557506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1891801049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MEDICAL DRIVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061781",
"telephone_number": "806-353-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL DRIVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061781",
"telephone_number": "806-353-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICE",
"first_name": "DENNIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "K0068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHWEST LIFE & HEALTH",
"identifier": "115738101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148784502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Z0461",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "115738101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00045527",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.