Active NPI
David M Pokorny, D.C, FNP-C
- Family Nurse Practitioner
- Denison, TX
National Provider Identifier
1902807043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 792625
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602063 | Other | TX | BLUE CROSS/BLUE SHEILD TX |
| 752328635 | Other | TX | TAX ID# |
| 5679361 | Other | TX | AETNA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 792625 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pokorny Chiropractic Center, P.C. | Family | Current | Accepting new patients |
Locations
2214 W Morton St
Denison, TX 75020
Phone (903) 465-2225
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Denison, TX
- NPI 1467710053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.