Individual provider Active NPI

David M Pokorny, D.C, FNP-C

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1902807043
Registry record updated Oct 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
792625 Issued in TX
Practice address
2214 W. Morton
Denison, TX 75020-1623
Phone
(903) 465-2225
Fax
(903) 465-1162
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 792625 TX Primary

Addresses

Primary practice location

2214 W. Morton
Denison, TX 75020-1623

Mailing address

2214 W. Morton
Denison, TX 75020-1623
Phone (903) 465-2225

Other identifiers 3

IdentifierTypeStateIssuer
602063OtherTXBLUE CROSS/BLUE SHEILD TX
752328635OtherTXTAX ID#
5679361OtherTXAETNA

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130601000013 TX Practitioner - Nurse Practitioner 6002078185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2214 W Morton St
Denison, TX 75020-1623
Phone (903) 465-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
792625TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pokorny Chiropractic Center, P.C. Family CurrentSince Feb 13, 2012 Accepting new patients

Locations

2214 W Morton St
Denison, TX 75020
Phone (903) 465-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IACJCA/Endpoint/IACJCA

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412380800000",
    "number": "1902807043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 W. MORTON",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201623",
            "telephone_number": "903-465-2225",
            "fax_number": "903-465-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 W. MORTON",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201623",
            "telephone_number": "903-465-2225",
            "fax_number": "903-465-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKORNY",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "792625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD TX",
            "identifier": "602063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "752328635",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5679361",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.