Individual provider Active NPI

Gary Creed Dennis Jr., D.D.S.

  • Endodontics
  • Houston, TX
National Provider Identifier
1902101827
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27848 Issued in TX
Practice address
8955 Highway 6 N
Suite 130
Houston, TX 77095-2320
Phone
(202) 465-1128
NPI assigned
Jan 24, 2011
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 27848 TX Primary
Endodontics 1223E0200X DS038560 PA

Addresses

Primary practice location

8955 Highway 6 N
Suite 130
Houston, TX 77095-2320

Mailing address

8955 Highway 6 N
Suite 130
Houston, TX 77095-2320
Phone (202) 465-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804003577 TX Order and Referring Only - DentistPractitioner - Dentist 9133433261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS038560PAMDEndodontist
27848TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1902101827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 HIGHWAY 6 N",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952320",
            "telephone_number": "202-465-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 HIGHWAY 6 N",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952320",
            "telephone_number": "202-465-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "GARY",
        "middle_name": "CREED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27848",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.